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compositionComposition:AZATHIOPRINE-50MG
prescriptionPrescription Medicine
Imuran Tablet 25's

Imuran Tablet is an immunosuppressant primarily used to prevent kidney transplant rejection and manage the symptoms of active rheumatoid arthritis (a condition in which the immune system attacks the joints). It suppresses the overactive immune system by inhibiting the proliferation of certain white blood cells, thereby helping to prevent the body from rejecting newly transplanted organs. It also helps relieve joint pain and inflammation and slows disease progression in patients with rheumatoid arthritis.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

AZATHIOPRINE-50MG

Manufacturer/Marketer :

GlaxoSmithKline Pharmaceuticals Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

NPPA :

Regulated

About Imuran Tablet

Imuran Tablet is used to prevent rejection of kidney transplants. It is also used to treat symptoms of active rheumatoid arthritis (a condition in which the immune system attacks the joints, causing pain and inflammation).

Imuran Tablet contains Azathioprine (an immunosuppressant), which works by calming the immune system. It prevents certain white blood cells (especially T and B cells that attack foreign invaders and defend the body against harmful cells) from proliferating excessively. As a result, Imuran Tablet helps prevent the body from attacking a transplanted organ and reduces inflammation in joint tissues.

Take Imuran Tablet exactly as prescribed by your doctor. Swallow it whole with a glass of water, and do not crush or chew it. Imuran Tablet may cause common side effects, including nausea, headache, vomiting, diarrhoea, dizziness, loss of appetite, increased liver enzymes, reduced resistance to infections, and leukopenia (decreased white blood cell count). Please consult your doctor if these side effects persist or worsen.

Do not take Imuran Tablet if you are allergic to any of its ingredients or if you are pregnant, planning to become pregnant, or breastfeeding. Imuran Tablet should not be given to children, as its safety and efficacy have not been established. Inform your doctor before taking Imuran Tablet if you have any bacterial, fungal, or viral infections, liver or kidney problems, or are taking other immunosuppressant or chemotherapy medications.

Uses of Imuran Tablet

Imuran Tablet is used to prevent kidney transplant rejection and manage rheumatoid arthritis. The detailed uses of Imuran Tablet are as follows:

  • Prevention of organ rejection in kidney transplantation: Imuran Tablet is used along with other medications to help prevent the body from rejecting a transplanted kidney.
  • Treatment of severe active rheumatoid arthritis: Imuran Tablet is also prescribed to reduce signs and symptoms in patients with rheumatoid arthritis that have not improved with standard treatments, such as disease-modifying antirheumatic drugs (DMARDs) or nonsteroidal anti-inflammatory drugs (NSAIDs).

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Directions for Use

  • Imuran Tablet can be taken with or without food. However, if you experience stomach upset, take it with food. Avoid taking it with milk or dairy products, as they may reduce its effectiveness.
  • Your doctor will determine the dosage and timing of this medication based on your medical condition. If taken regularly, it is typically recommended 1-2 times daily.
  • Swallow Imuran Tablet as a whole with a glass of water.
  • Do not crush, chew, or break it.

Key Benefits

Imuran Tablet offers the following medicinal benefits:

  • Suppresses the immune system to help prevent rejection of newly transplanted organs, such as kidneys.
  • Relieves joint pain and inflammation while slowing joint damage and disease progression in patients with rheumatoid arthritis.
  • May help control an overactive immune system in various autoimmune conditions (such as ulcerative colitis, lupus, and autoimmune hepatitis)
  • May decrease the need for long-term steroid use in patients with severe inflammatory skin disorders.

How Imuran Tablet Works

Imuran Tablet contains Azathioprine (an immunosuppressant) that works by modulating the immune system. It prevents certain white blood cells (especially T and B cells that attack foreign invaders and defend the body against harmful cells) from proliferating excessively. As a result, Imuran Tablet helps prevent the body from attacking a transplanted organ and reduces inflammation in joint tissues.

Storage

Store in a cool and dry place away from sunlight
Side effects of Imuran Tablet
  • Aim for at least five servings of a well-balanced diet per day that is full of vibrant fruits and vegetables.
  • Eat more whole foods, lean meats, and plant-based foods, and eat healthy fruits like bananas, oranges, and berries.
  • Limit alcohol intake and abstain from smoking to promote general wellbeing.
  • Boost your immunity by including immune rich foods in your diet and always remember to stay hydrated.
  • Get sufficient sleep and manage stress which helps in improving white blood cell count.
  • Consult your doctor for an effective treatment to improve the blood cell count and get regular body check up to monitor changes in the count.
  • Try to prevent the factors that cause a decrease in the white blood cells that may lead to impaired immunity.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
To prevent, manage, and treat Constipation caused by medication usage, follow these steps:
  • Preventing Vomiting (Before it Happens)
  • Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
  • Having a small meal before taking your medication can help reduce nausea and vomiting.
  • Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
  • Managing Vomiting (If it Happens)
  • Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
  • What to Do if Vomiting Persists
  • Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.
  • Include iron-rich foods like dark leafy vegetables, lean red meat, legumes and fish in your diet.
  • Consume vitamin C-rich foods as they aid iron absorption.
  • Limit tea, cocoa, and coffee as these can slow iron absorption.
  • Exercise regularly; however, do not overdo it.
  • Managing a low platelet count (thrombocytopenia) caused by medication usage requires a multi-step approach. Here are some steps to help manage the condition:
  • Inform your doctor about your low platelet count and medication usage. They will assess the situation and guide the best course of action.
  • Your doctor may recommend adjusting or stopping the medication that is causing a low platelet count. This could involve switching to alternative medication or reducing the dosage.
  • Monitor your platelet count regularly through blood tests to track any changes. This will help the doctor determine the effectiveness of the treatment plan.
  • If an underlying condition, such as infection or inflammation, contributes to the low platelet count, your doctor will treat it.
  • In some cases, alternative treatments like platelet transfusions or medications that stimulate platelet production may be necessary.
  • Avoid risky activities and certain medications; eat a balanced diet with plenty of water to reduce bleeding risk and boost overall health.
  • If you experience severe bleeding or bruising, seek emergency medical attention immediately.

What if I have taken an overdose of Imuran Tablet

Do not take more than the prescribed dose of Imuran Tablet , as it may cause serious side effects. If you suspect you have taken an overdose or notice any unusual symptoms, please consult a doctor immediately.

Drug Warnings

  • Do not take Imuran Tablet if you are allergic to any of its ingredients or other immunosuppressant medications.
  • Let your doctor know before taking Imuran Tablet if you have liver or kidney problems, serious blood disorders, immune system problems, bone marrow problems, serious infections, or immunodeficiency syndrome.
  • Do not take Imuran Tablet if you are pregnant or planning to become pregnant, as it may cause serious congenital disabilities in the unborn baby.
  • Avoid taking Imuran Tablet while breastfeeding, as it can pass into breast milk.
  • Imuran Tablet should not be given to children, as its safety and effectiveness have not been established.
  • Imuran Tablet may cause dizziness and drowsiness, so drive with caution.
  • Using Imuran Tablet for a long time may increase your chance of getting certain types of cancer, such as lymphoma (cancer of the spleen, thymus gland, and bone marrow), leukaemia (blood cancer), and skin cancer.
  • Avoid excessive exposure to sunlight; wear protective clothing; and apply a high-SPF sunscreen while using Imuran Tablet .

Drug-Drug Interactions

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AzathioprineFebuxostat
Critical
AzathioprineGolimumab
Severe

Drug-Drug Interactions

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AzathioprineFebuxostat
Critical
How does the drug interact with Imuran Tablet:
Taking Imuran Tablet and Febuxostat together can increase the blood levels of Imuran Tablet

How to manage the interaction:
Taking Imuran Tablet with Febuxostat is not recommended, but it can be taken together if prescribed by a doctor. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without talking to a doctor.
AzathioprineGolimumab
Severe
How does the drug interact with Imuran Tablet:
When Imuran Tablet and Golimumab are taken together, they may raise the risk of severe infections

How to manage the interaction:
There may be a possibility of interaction between Imuran Tablet and Golimumab, but it can be taken if prescribed by a doctor. However, if you have any of these symptoms- fever, chills, diarrhea, sore throat, muscle aches, difficulty breathing, blood in phlegm (a thick secretion in the airway during disease and inflammation), losing weight, or pain while peeing, make sure to contact a doctor immediately. Do not stop using any medications without a doctor's advice.
AzathioprineNatalizumab
Severe
How does the drug interact with Imuran Tablet:
Taking Imuran Tablet with Natalizumab can raise the risk of severe infections.

How to manage the interaction:
Although taking Imuran Tablet and Natalizumab together can cause an interaction, it can be taken if a doctor has suggested it. However, if you have any of these symptoms- fever, chills, diarrhea, sore throat, muscle aches, difficulty breathing, blood in phlegm(a thick secretion in the airway during disease and inflammation), losing weight, or pain while peeing, progressive weakness on one side of the body, clumsiness of limbs, disturbance of vision, confusion, or changes in thinking, memory and personality, make sure to contact a doctor immediately. Do not stop using any medications without a doctor's advice.
AzathioprineBCG vaccine
Severe
How does the drug interact with Imuran Tablet:
Taking the BCG vaccine with Imuran Tablet can increase the risk of infection.

How to manage the interaction:
Co-administration of Imuran Tablet with BCG vaccine can result in an interaction, but it can be taken if a doctor has advised it. If you notice any signs of infection, it's important to contact a doctor right away. Do not discontinue any medications without consulting a doctor.
AzathioprineTeriflunomide
Severe
How does the drug interact with Imuran Tablet:
When Imuran Tablet is taken with Teriflunomide, may raise the risk of side effects affecting bone marrow function, resulting in low levels of different types of blood cells. This can increase your chances of developing anemia, bleeding issues, or infections.

How to manage the interaction:
Taking Imuran Tablet with Teriflunomide together can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience paleness, exhaustion, dizziness, lightheadedness, unusual bleeding or bruising, fever, chills, diarrhea, sore throat, muscular pains, shortness of breath, blood in phlegm, weight loss, red or inflamed skin, body sores, or pain or burning during urination, consult a doctor immediately. Do not stop using any medications without a doctor's advice.
AzathioprineTofacitinib
Severe
How does the drug interact with Imuran Tablet:
The use of tofacitinib with Imuran Tablet may raise the risk of severe infections.

How to manage the interaction:
Co-administration of Imuran Tablet with Tofacitinib can result in an interaction, but it can be taken if a doctor has advised it. However, consult a doctor immediately if you experience fever, chills, diarrhea, sore throat, muscle aches, shortness of breath, blood in phlegm, weight loss, red or irritated skin, body sores, and pain or burning during urination. Do not stop using any medications without a doctor's advice.
AzathioprineRibavirin
Severe
How does the drug interact with Imuran Tablet:
Coadministration of Imuran Tablet and ribavirin used together can increase the risk of side effects. This can increase your chances of developing anemia(lack of blood), bleeding issues, or infections.

How to manage the interaction:
Although using Ribavirin and Imuran Tablet together may cause an interaction, they can be taken together if advised by a doctor. However, consult a doctor if you have pale skin, tiredness, disorientation, fainting, unusual bleeding or bruises, fever, chills, sore throat, body aches, or other flu-like symptoms. Do not stop taking any medications without consulting a doctor.
AzathioprineCladribine
Severe
How does the drug interact with Imuran Tablet:
The use of cladribine with Imuran Tablet can increase the risk of serious infections.

How to manage the interaction:
Although taking Imuran Tablet and Cladribine together can cause an interaction, it can be taken if a doctor has suggested it. However, if you experience symptoms fever, chills, diarrhea, sore throat, muscle aches, shortness of breath, weight loss, or pain during urination, contact a doctor right away. Do not discontinue any medications without consulting a doctor.
AzathioprineOlaratumab
Severe
How does the drug interact with Imuran Tablet:
Using Imuran Tablet together with olaratumab may increase the risk of serious infections.

How to manage the interaction:
Taking Olaratumab with Imuran Tablet together can result in an interaction, but it can be taken if a doctor has advised it. If you need to take both medications together, it's important to closely monitor your health and get regular blood tests to check for any problems with your blood cells. If you notice any of these symptoms - like feeling weak, getting sick easily, having a fever or sore throat, or having trouble breathing - it's important to call a doctor right away. Do not stop using any medications without a doctor's advice.
AzathioprineVoclosporin
Severe
How does the drug interact with Imuran Tablet:
Taking Imuran Tablet with Voclosporin may lead to a higher chance of severe infections and certain cancers, such as skin cancer and lymph gland cancer (lymphoma).

How to manage the interaction:
Although taking Imuran Tablet and Voclosporin together can cause an interaction, it can be taken if a doctor has suggested it. However, if you notice any symptoms like fever, chills, sore throat, muscle aches, blood in coughing fluid, red or inflamed skin, or body sores it is recommended to contact a doctor right away. Other symptoms such as weight loss, pain during urination, or difficulty breathing should also be reported promptly. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

Healthy diet:

  • Eat foods rich in antioxidants, such as berries, spinach, kidney beans, and dark chocolate.
  • Consume foods containing flavonoids to help reduce inflammation, such as soy, berries, broccoli, grapes, and green tea.
  • Avoid alcohol consumption.

Physical activity and exercise:

  • Maintain a healthy weight by engaging in regular low-impact exercise and eating a healthy diet.
  • Physical activity helps strengthen muscles and relieve joint stiffness. Gentle activities like 20-30 minutes of walking or swimming would be helpful.
  • Practising yoga may also help improve joint flexibility and manage pain.

Rest and recovery:

  • Get adequate sleep, as rest can help reduce inflammation and swelling.
  • Apply cold or hot compresses to the joints for 15-20 minutes regularly to reduce swelling.

Stress management and therapies:

  • De-stress by meditating, reading, taking a warm bubble bath, or listening to soothing music.
  • Acupuncture, massage, and physical therapy may also be helpful.

Habit Forming

No

Therapeutic Class

[IMMUNOSUPPRESSANTS]

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Alcohol

Caution

You are recommended to avoid alcohol consumption while taking Imuran Tablet . It could lead to increased dizziness and drowsiness.

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Pregnancy

Caution

Imuran Tablet is a Category D pregnancy drug that is not recommended for pregnant women or given only under the strict guidance of the doctor, as there is no clinical data available on use in pregnant women.

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Breast Feeding

Caution

It is not recommended to take Imuran Tablet while you are breastfeeding. Imuran Tablet passes into breast milk.

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Driving

Caution

Imuran Tablet may cause dizziness, drowsiness, and tiredness; do not drive or operate heavy machinery if you feel dizzy.

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Liver

Caution

Take Imuran Tablet only as prescribed by your doctor, especially if you are dealing with Liver diseases/conditions, as your doctor may adjust the dose as required.

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Kidney

Consult your doctor

Please consult your doctor if you have kidney impairment before taking Imuran Tablet .

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Children

Unsafe

Imuran Tablet should not be used by children below 18 years of age, as its efficacy and safety have not been established.

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Heart

Consult your doctor

Please consult your physician if you have any heart-related problems before taking Imuran Tablet .

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Geriatrics

Caution

Exercise caution when administering Imuran Tablet to geriatric patients; close monitoring is required.

FAQs

Imuran Tablet is used to prevent kidney transplant rejection. It is also used to treat symptoms of active rheumatoid arthritis (a condition in which the immune system attacks the joints, causing pain and inflammation).

Imuran Tablet causes leukopenia (decreased number of white blood cells) and hence may make you more susceptible to infections. Consult your doctor if you develop any signs of infections such as fever, sore throat, breathlessness, jaundice, unexplained bleeding, or bruising.

Imuran Tablet acts as an immunosuppressant, which helps in reducing inflammation and preventing joint stiffness, thereby providing relief from rheumatoid arthritis.

If you miss a dose of Imuran Tablet , take the missed dose as soon as you remember it. However, if it's almost time for the next dose, do not take a double dose to make up for a missed one.

Diarrhoea might be a side effect of Imuran Tablet . Drink lots of fluids and eat food rich in fibre if you experience diarrhoea. If you find blood in your stools (tarry stools) or experience excess diarrhoea, consult your doctor. Do not take anti-diarrheal medicine on your own.

Imuran Tablet is a Category D pregnancy drug that is not recommended for pregnant women or given only under the strict guidance of the doctor, as there is no clinical data available on use in pregnant women.

Imuran Tablet starts to work gradually. It can take up to 12 weeks of taking the right adjusted dose before you notice any benefits.

If you miss a prescription dose, take it as soon as you recall and resume your regular routine. If you are near the next dose, skip the missing dose and resume your regular schedule. Do not take a double dose to make up for a forgotten dose.

It depends on your individual medical condition and response to the medication. Your doctor will determine the appropriate duration of treatment based on your specific needs.

Taking Imuran Tablet for a long time can increase your risk of developing some types of cancer, including skin cancer. As a result, avoid direct sunlight, apply sunscreen (SPF 30 or higher), and wear clothes that shield your arms and legs.

You'll have regular blood tests while taking azathioprine. These tests will ensure that any concerns or problems are found quickly.

Imuran Tablet may have an effect on your liver, kidneys, or bone marrow. Before you begin taking this medication, you will undergo blood tests to assess your liver function, renal function, and blood count. From week one to week eight of your treatment, you will undergo at least one blood test every week.

Yes, taking Imuran Tablet for a long time can increase your risk of developing some types of cancer, including skin cancer. Seek medical attention if you experience any changes in your body.

Using Cyclosporine together with Imuran Tablet may decrease the effects of cyclosporine. Caution is advised if Cyclosporine must be taken with Imuran Tablet . You may need a dose adjustment or a special test if you use both medications.

Alcohol does not affect the way azathioprine works. However, both azathioprine and alcohol can affect your liver. For this reason, limiting or avoiding the consumption of alcohol is recommended.

Common side effects of Imuran Tablet may include nausea, headache, vomiting, diarrhoea, unusual fatigue, dizziness, loss of appetite, increased liver enzymes, lowered resistance to infections, tingling sensation, stomach pain, leukopenia (decreased number of white blood cells), and sore throat. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

Country of origin

India

Manufacturer/Marketer address

24-25 Floor, One Horizon Center Golf Course Road, Dlf Phase 5 Gurgaon 122002, India.
Other Info - IMU0002

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