Product image of Lanvis (Tioguanine) supplied by GNH India

Lanvis

Active Ingredient:
Tioguanine
Origin:
EU

Lanvis (Tioguanine)

Tioguanine, the active ingredient in Lanvis, is a thiopurine presented as an oral formulation for oral use. It is employed in the treatment of certain leukemias, specifically acute lymphoblastic leukemia and chronic myeloid leukemia, and works by interfering with DNA synthesis in malignant cells. The drug is indicated for use under specialist supervision in adult and pediatric oncology patients.

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

Manufacturer / TM Owner

Aspen Pharma Trading Limited

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Indications & Clinical Uses

  • Lanvis, a thiopurine antineoplastic, is used in the management of malignant blood disorders.
  • Acute lymphoblastic leukemia: contributes to remission induction in patients.
  • Chronic myeloid leukemia: assists in disease control and cytogenetic response.
  • Maintenance therapy in leukemia: helps sustain remission after initial treatment.

How It Works

  • Tioguanine is metabolized intracellularly to thioguanine nucleotides, which become incorporated into DNA and RNA, disrupting purine synthesis and leading to inhibition of cell proliferation. The incorporation causes mismatched base pairing and strand breakage, resulting in cytotoxicity of rapidly dividing leukemic cells and immunosuppressive effects on lymphocytes.

Side Effects

Tioguanine may be associated with a range of adverse reactions, varying in frequency and severity.

Common Side Effects

  • Nausea or vomiting.
  • Diarrhea or abdominal discomfort.
  • Loss of appetite.
  • Mild leukopenia or neutropenia.
  • Rash or mild skin irritation.
  • Elevated liver enzymes.

Serious or Rare Side Effects

  • Severe myelosuppression leading to infection risk.
  • Hepatotoxicity with jaundice.
  • Acute pancreatitis.
  • Life‑threatening infections.
  • Hypersensitivity reactions including fever and eosinophilia.
  • Secondary malignancies such as lymphomas.

Precautions & Warnings

  • Tioguanine therapy requires careful monitoring and patient counseling.
  • Monitor blood counts: perform regular CBC to detect myelosuppression.
  • Assess liver function: check hepatic enzymes before and during therapy.
  • Screen for infections: avoid use in active infections.
  • Avoid in patients with known hypersensitivity to thiopurines.
  • Pregnancy and lactation: use only if benefits outweigh risks and after specialist consultation.
  • Store at ambient temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Tioguanine can interact with several medicines, altering its safety profile.

Major Interactions (Avoid)

  • Allopurinol: may increase tioguanine toxicity – avoid co‑administration.
  • Azathioprine: additive myelosuppression – avoid concurrent use.

Moderate Interactions (Monitor Closely)

  • Warfarin: may enhance anticoagulant effect – monitor INR.
  • Methotrexate: increased risk of bone marrow suppression – monitor blood counts.
  • Corticosteroids: may alter tioguanine metabolism – adjust dose as needed.

Frequently Asked Questions

Lanvis contains the active ingredient tioguanine, a thiopurine antineoplastic that is prescribed for the treatment of certain leukemias, most notably acute lymphoblastic leukemia and chronic myeloid leukemia. It is used under specialist supervision to help achieve remission or disease control in affected patients.

Tioguanine is converted inside cells to thioguanine nucleotides, which become incorporated into DNA and RNA. This incorporation disrupts normal purine synthesis, leading to faulty DNA replication and transcription, ultimately causing cytotoxicity of rapidly dividing malignant cells and providing immunosuppressive effects.

The dose of Lanvis is individualized and must be determined by the prescribing oncologist or hematologist. Dosage depends on factors such as the specific leukemia being treated, patient age, weight, renal and hepatic function, and concurrent therapies.

Safety of tioguanine in pregnancy or lactation has not been fully established. It should only be used if the potential benefit to the mother outweighs the possible risk to the fetus or infant, and this decision must be made by a qualified specialist after thorough risk assessment.

To order Lanvis, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams across international markets. After receiving the request, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details and any required import documentation.

Lanvis (tioguanine) is one of several thiopurine agents, including azathioprine and mercaptopurine. While all share a similar mechanism of interfering with purine synthesis, tioguanine is often selected for specific leukemic protocols because of its pharmacokinetic profile and potency. Choice of agent depends on disease type, treatment regimen, and individual patient tolerance.

Lanvis should be stored at ambient temperature, below 25 °C, in its original packaging to protect it from moisture and light. Keep the product in a dry place and out of reach of children. Do not refrigerate or freeze unless the manufacturer’s labeling specifically indicates otherwise.

Lanvis is administered orally, typically as tablets or capsules, and should be taken with water as directed by the prescribing clinician. The exact timing (e.g., with or without food) and frequency are determined by the treating physician based on the therapeutic plan.

The most serious risks include severe myelosuppression, which can lead to life‑threatening infections, hepatotoxicity, pancreatitis, and rare hypersensitivity reactions. Patients should be closely monitored with regular blood counts and liver function tests, and any signs of infection or organ dysfunction should prompt immediate medical evaluation.

Lanvis should be avoided in individuals with known hypersensitivity to tioguanine or other thiopurines, in patients with severe active infections, and in those with significant hepatic or renal impairment unless dose adjustments are made. Pregnant or breastfeeding women should only use it when clearly indicated by a specialist.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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