Product image of Imuprin (Azathioprine) supplied by GNH India

Imuprin

Active Ingredient:
Azathioprine
Origin:
EU

Imuprin (Azathioprine)

Azathioprine, the active ingredient in Imuprin, is an immunosuppressant presented as an oral tablet for oral use. It is employed to reduce immune activity in patients undergoing organ transplantation, those with rheumatoid arthritis, inflammatory bowel disease, and systemic lupus erythematosus.

GNH India supplies Imuprin as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Remedica Ltd

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Indications & Clinical Uses

Azathioprine is used to modulate immune‑mediated conditions across several disease families.

  • Organ transplantation: helps prevent graft rejection by suppressing the immune response.
  • Rheumatoid arthritis: reduces joint inflammation and disease progression.
  • Inflammatory bowel disease: induces and maintains remission in Crohn’s disease and ulcerative colitis.
  • Systemic lupus erythematosus: diminishes disease activity by limiting auto‑immune attacks.

How It Works

  • Azathioprine is a prodrug that is intracellularly converted to 6‑mercaptopurine. The metabolite interferes with purine nucleotide synthesis, leading to reduced DNA and RNA production. This inhibition curtails proliferation of rapidly dividing lymphocytes, thereby dampening both cellular and humoral immune responses. The resulting immunosuppression helps prevent graft rejection and control autoimmune inflammation.

Side Effects

Azathioprine may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Nausea: mild gastrointestinal upset.
  • Leukopenia: reduced white blood cell count.
  • Rash: skin irritation or itching.

Serious or Rare Side Effects

  • Bone marrow suppression: severe pancytopenia.
  • Hepatotoxicity: elevated liver enzymes or liver injury.
  • Increased infection risk: opportunistic infections.

Precautions & Warnings

When prescribing azathioprine, clinicians should observe several precautionary measures to ensure patient safety.

  • Monitor blood counts: perform regular CBC to detect leukopenia or anemia.
  • Assess liver function: check hepatic enzymes before and during therapy.
  • Avoid live vaccines: immunosuppression can lead to vaccine‑derived infection.
  • Counsel on infection signs: advise patients to report fever or unusual symptoms promptly.
  • Adjust dose in renal impairment: reduce dosage based on renal function.
  • Store at ambient temperature: keep tablets in original packaging, protect from moisture.

Avoid Interactions

Azathioprine interacts with several medicines that can alter its efficacy or toxicity.

Major Interactions (Avoid)

  • Allopurinol: may increase azathioprine toxicity; concurrent use generally avoided.
  • Warfarin: azathioprine can enhance anticoagulant effect, raising bleeding risk.
  • Live vaccines: combined immunosuppression heightens risk of infection.

Moderate Interactions (Monitor Closely)

  • ACE inhibitors: may potentiate renal effects; monitor kidney function.
  • NSAIDs: can increase risk of bone marrow suppression; observe blood counts.

Frequently Asked Questions

Imuprin contains azathioprine, an immunosuppressive agent that is prescribed for organ transplantation, rheumatoid arthritis, inflammatory bowel disease such as Crohn’s disease and ulcerative colitis, and systemic lupus erythematosus. In each case the drug helps to dampen an overactive immune response.

Azathioprine is a prodrug that is converted inside cells to 6‑mercaptopurine. This metabolite blocks the synthesis of purine nucleotides, which are essential building blocks for DNA and RNA. By limiting purine production, the drug reduces the proliferation of lymphocytes, thereby suppressing both cellular and humoral immunity.

The dosage of Imuprin is individualized by the prescribing clinician based on the specific indication, patient weight, renal and hepatic function, and laboratory monitoring results. Physicians determine the appropriate starting dose and any subsequent adjustments during treatment.

The safety of azathioprine in pregnancy and lactation is not fully established, and it is classified as a drug with unknown pregnancy category. Healthcare providers must weigh potential benefits against possible risks and discuss these considerations with the patient before initiating therapy.

To request Imuprin, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Both azathioprine (Imuprin) and mycophenolate mofetil are antimetabolite immunosuppressants that inhibit lymphocyte proliferation, but they act on different enzymes in the purine synthesis pathway. Azathioprine is converted to 6‑mercaptopurine, whereas mycophenolate blocks inosine monophosphate dehydrogenase. Choice between them depends on the clinical scenario, side‑effect profile, and physician preference.

Imuprin tablets should be stored at ambient temperature, below 25 °C, in their original container. The packaging protects the product from moisture and light, helping to maintain potency throughout its shelf life.

Imuprin is taken orally, usually with food or a glass of water to reduce gastrointestinal irritation. The exact dosing schedule—once daily or divided doses—is determined by the treating physician according to the patient’s condition and response to therapy.

The most critical adverse effects include severe bone‑marrow suppression leading to pancytopenia, hepatotoxicity that may progress to liver failure, and an increased susceptibility to opportunistic infections. Patients should be monitored regularly for blood count abnormalities and liver enzyme changes.

Imuprin is contraindicated in individuals with known hypersensitivity to azathioprine or its metabolites, in patients with active severe infections, and in those who have received live vaccines within a short period before starting therapy. Caution is also advised for patients with significant hepatic or renal impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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