Product image of Imuran (Azathioprine) supplied by GNH India

Imuran

Active Ingredient:
Azathioprine
Origin:
EU

Imuran (Azathioprine)

Azathioprine, the active ingredient in Imuran, is an immunosuppressant presented as an oral tablet for oral use. It is employed to reduce immune system activity in patients undergoing organ transplantation, those with rheumatoid arthritis, and individuals with inflammatory bowel disease. It is indicated for long‑term management to maintain graft function and control chronic inflammation.

GNH India supplies Imuran as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres and pharmacies worldwide. The company adheres to stringent quality standards and provides reliable logistics for global distribution.

Manufacturer / TM Owner

Aspen Pharma Trading Limited

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Indications & Clinical Uses

  • Azathioprine is used to modulate immune‑mediated conditions by suppressing lymphocyte proliferation.
  • Organ transplantation: helps prevent graft rejection by inhibiting the immune response.
  • Rheumatoid arthritis: reduces joint inflammation and disease progression.
  • Inflammatory bowel disease: maintains remission in Crohn's disease and ulcerative colitis.

How It Works

  • Azathioprine is a prodrug that is converted intracellularly to 6‑mercaptopurine, which interferes with purine nucleotide synthesis. This inhibition reduces DNA replication in rapidly dividing cells, particularly T‑ and B‑lymphocytes, leading to decreased immune cell proliferation and overall immunosuppression.

Side Effects

Adverse reactions may vary in frequency and severity.

Common Side Effects

  • Nausea or vomiting.
  • Decreased white blood cell count.
  • Mild rash or itching.

Serious or Rare Side Effects

  • Severe bone marrow suppression causing anemia or infections.
  • Hepatotoxicity with elevated liver enzymes.
  • Pancreatitis or severe abdominal pain.

Precautions & Warnings

  • Before and during treatment, several precautions should be observed.
  • Baseline monitoring: obtain CBC and liver function tests before starting therapy.
  • Infection risk: avoid live vaccines and monitor for signs of infection during treatment.
  • Pregnancy: use only if potential benefit justifies risk; discuss with healthcare provider.
  • Renal/hepatic impairment: dose adjustment may be required; assess organ function regularly.
  • Drug‑specific contraindications: discontinue if severe bone marrow suppression occurs.
  • Store at ambient temperature: keep below 25 °C, protect from moisture and light in original packaging.

Avoid Interactions

Azathioprine may interact with several medicines; some require avoidance while others need close monitoring.

Major Interactions (Avoid)

  • Allopurinol: may increase azathioprine toxicity.
  • Warfarin: azathioprine can enhance anticoagulant effect.
  • Live vaccines: concurrent use may cause severe infection.

Moderate Interactions (Monitor Closely)

  • Ribavirin: may increase risk of bone marrow suppression.
  • ACE inhibitors: may affect renal function; monitor laboratory parameters.

Frequently Asked Questions

Imuran, whose active ingredient is azathioprine, is prescribed to prevent organ transplant rejection, to control disease activity in rheumatoid arthritis, and to maintain remission in inflammatory bowel diseases such as Crohn's disease and ulcerative colitis.

Azathioprine is converted inside cells to 6‑mercaptopurine, which blocks purine synthesis. This limits DNA production in rapidly dividing lymphocytes, reducing T‑ and B‑cell proliferation and thereby suppressing the immune response.

The dosage of Imuran is individualized. A qualified prescriber determines the appropriate amount based on the specific condition, patient weight, renal and hepatic function, and response to therapy. Patients should follow the prescribing information provided by their healthcare professional.

Safety data for azathioprine in pregnancy and lactation are limited. It may be used only when the potential benefit outweighs the possible risk to the fetus or infant. Women who are pregnant, planning pregnancy, or breastfeeding should discuss treatment options with their physician.

To request Imuran, 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 (including any cold‑chain requirements) and necessary import documentation.

Both azathioprine (Imuran) and mycophenolate mofetil are immunosuppressants used after transplantation and for autoimmune diseases. Azathioprine is a purine analogue that requires metabolic activation, while mycophenolate directly inhibits inosine monophosphate dehydrogenase. Their side‑effect profiles differ; azathioprine is more associated with bone‑marrow suppression, whereas mycophenolate often causes gastrointestinal upset.

Imuran tablets should be stored at ambient temperature, preferably below 25 °C. Keep them in the original container, protect from moisture and light, and keep out of reach of children. Do not store in bathrooms or near heat sources.

Imuran is taken orally as a tablet. The tablet should be swallowed whole with a glass of water; it should not be crushed, chewed, or split unless specifically instructed by a healthcare professional.

The most serious risks include severe bone‑marrow suppression leading to anemia, infections or bleeding; hepatotoxicity with elevated liver enzymes; and pancreatitis. Patients should promptly report unexplained fever, persistent fatigue, jaundice, abdominal pain, or unusual bruising to their physician.

Imuran is contraindicated in patients with known hypersensitivity to azathioprine or its metabolites, those with severe bone‑marrow suppression, active infections, or uncontrolled liver disease. Caution is also advised for individuals with thiopurine methyltransferase (TPMT) deficiency, as they are at higher risk for toxicity.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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