Product image of Imurel (Iv) (Azathioprine) supplied by GNH India

Imurel (Iv)

Active Ingredient:
Azathioprine
Origin:
EU

Imurel (Iv) (Azathioprine)

Azathioprine, the active ingredient in Imurel (Iv), is an immunosuppressant presented as an intravenous solution for intravenous use. It is used to prevent organ transplant rejection and to treat autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus, and inflammatory bowel disease.

GNH India supplies Imurel (Iv) as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, and pharmacies worldwide, ensuring quality and regulatory compliance. 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 employed in clinical practice to modulate immune responses in transplant and autoimmune disease settings.
  • Organ transplant rejection: helps prevent graft rejection by suppressing lymphocyte proliferation.
  • Rheumatoid arthritis: reduces joint inflammation and disease progression.
  • Systemic lupus erythematosus: diminishes auto‑antibody production and organ damage.
  • Inflammatory bowel disease: controls intestinal inflammation and maintains remission.

How It Works

  • Azathioprine is a prodrug that is converted intracellularly to 6‑mercaptopurine, which interferes with purine nucleotide synthesis. This inhibition blocks DNA replication, leading to reduced proliferation of rapidly dividing T and B lymphocytes, thereby dampening the immune response and preventing graft rejection or autoimmune activity.

Side Effects

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

Common Side Effects

  • Nausea or vomiting.
  • Decreased appetite.
  • Mild leukopenia or lymphopenia.
  • Elevated liver enzymes.
  • Skin rash or itching.

Serious or Rare Side Effects

  • Severe bone marrow suppression (pancytopenia).
  • Hepatotoxicity with jaundice.
  • Pancreatitis.
  • Increased susceptibility to infections.
  • Risk of malignancies such as lymphoma.
  • Severe hypersensitivity reactions including fever and organ involvement.

Precautions & Warnings

  • Before initiating therapy, clinicians should consider several safety measures.
  • Monitor blood counts: perform regular CBC to detect bone marrow suppression.
  • Assess liver function: schedule periodic LFTs to identify hepatotoxicity.
  • Avoid in patients with known hypersensitivity to azathioprine or its metabolites.
  • Pregnancy: classified as Category D; use only when benefits outweigh potential fetal risks.
  • Vaccinations: avoid live vaccines while on therapy.
  • Store at ambient temperature: keep in original container, protect from light and moisture.

Avoid Interactions

Azathioprine can interact with other medicines, altering its safety or efficacy.

Major Interactions (Avoid)

  • Allopurinol: may increase azathioprine toxicity; concurrent use should be avoided.
  • Warfarin: can enhance anticoagulant effect; monitor INR closely.
  • Live vaccines: heightened infection risk; avoid administration during treatment.

Moderate Interactions (Monitor Closely)

  • Concurrent immunosuppressants (e.g., cyclosporine, tacrolimus): may increase bone marrow suppression; monitor blood counts.
  • Sulfonamide antibiotics: potential additive myelosuppression; observe hematologic parameters.

Frequently Asked Questions

Imurel (Iv) contains azathioprine and is used to prevent organ transplant rejection and to manage several autoimmune disorders, including rheumatoid arthritis, systemic lupus erythematosus, and inflammatory bowel disease. It works by suppressing the activity of immune cells that drive these conditions.

Azathioprine is a prodrug that is converted to 6‑mercaptopurine inside cells. This metabolite interferes with purine synthesis, which is essential for DNA replication. By limiting DNA production, the drug reduces the proliferation of T and B lymphocytes, thereby dampening the immune response.

The dosing regimen for Imurel (Iv) is individualized by the prescribing clinician based on the specific indication, patient weight, renal and hepatic function, and response to therapy. Only a qualified healthcare professional should determine the appropriate dose.

Azathioprine is classified as Pregnancy Category D, indicating evidence of risk to the fetus. It should be used during pregnancy only if the potential benefits justify the risks. Limited data are available for breastfeeding; a decision should be made by the prescriber after weighing benefits and potential infant exposure.

To place an order, 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.

Azathioprine belongs to the antimetabolite class and differs from calcineurin inhibitors such as cyclosporine or tacrolimus, which act on different intracellular pathways. Azathioprine offers oral and intravenous formulations and is often used when long‑term maintenance therapy is needed, but individual response and side‑effect profiles guide the choice of agent.

Imurel (Iv) should be stored at ambient temperature, below 25 °C. Keep the solution in its original packaging, protect it from light, and avoid exposure to moisture. Do not freeze the product.

Imurel (Iv) is given by intravenous infusion under the supervision of a qualified healthcare professional. The infusion rate and duration are determined by the prescribing clinician, taking into account the patient’s condition, dosage, and tolerance.

The most serious risks include severe bone marrow suppression (pancytopenia), hepatotoxicity, pancreatitis, opportunistic infections, and an increased risk of certain malignancies such as lymphoma. Patients should be monitored regularly for blood counts, liver function, and signs of infection.

Imurel (Iv) is contraindicated in patients with known hypersensitivity to azathioprine or its metabolites, in those with severe bone marrow depression, and in individuals with active, uncontrolled infections. Caution is also advised for patients with significant liver disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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