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 purine analog presented as an unspecified strength/oral tablet for oral use. It treats acute lymphoblastic leukemia, acute myeloid leukemia, and inflammatory bowel disease in appropriate patients.

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

Manufacturer / TM Owner

Aspen Pharma Trading Limited

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Indications & Clinical Uses

  • Lanvis (tioguanine) is employed in the management of hematologic malignancies and selected inflammatory conditions.
  • Acute lymphoblastic leukemia: helps achieve remission by targeting rapidly dividing lymphoblasts.
  • Acute myeloid leukemia: contributes to disease control through cytotoxic effects on myeloid blasts.
  • Inflammatory bowel disease: provides immunosuppression to reduce intestinal inflammation.

How It Works

  • Tioguanine is metabolized intracellularly to thioguanine nucleotides, which become incorporated into DNA and RNA. This incorporation disrupts purine synthesis, leading to cytotoxicity in rapidly proliferating cells and suppresses immune cell proliferation, thereby exerting its antineoplastic and immunosuppressive actions.

Side Effects

Adverse reactions may occur with tioguanine therapy and should be monitored.

Common Side Effects

  • Nausea
  • Vomiting
  • Diarrhea
  • Mild bone marrow suppression (e.g., transient neutropenia)
  • Fever
  • Rash

Serious or Rare Side Effects

  • Severe myelosuppression leading to infection or bleeding
  • Hepatic toxicity (elevated transaminases, hepatitis)
  • Pancreatitis
  • Opportunistic infections
  • Secondary malignancies
  • Severe allergic reactions (anaphylaxis).

Precautions & Warnings

  • Tioguanine therapy requires careful monitoring and patient assessment.
  • Dose adjustment: monitor complete blood count regularly.
  • Liver function: assess hepatic enzymes before and during therapy.
  • Renal function: adjust in severe renal impairment.
  • Infection risk: avoid in active infections.
  • Pregnancy: use only if benefits outweigh risks.
  • Store at below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Tioguanine can interact with several medications, necessitating vigilance.

Major Interactions (Avoid)

  • Allopurinol: increased toxicity risk.
  • Azathioprine: additive myelosuppression.
  • Warfarin: enhanced anticoagulant effect.

Moderate Interactions (Monitor Closely)

  • Antibiotics (e.g., trimethoprim‑sulfamethoxazole): monitor blood counts.
  • Antifungals (e.g., fluconazole): may increase plasma levels.
  • Live vaccines: reduced efficacy, consider alternatives.

Frequently Asked Questions

Lanvis contains tioguanine and is indicated for the treatment of acute lymphoblastic leukemia, acute myeloid leukemia, and as an immunosuppressant in inflammatory bowel disease. It is prescribed by oncologists or gastroenterologists as part of chemotherapy or maintenance regimens, depending on disease severity and patient response.

Tioguanine is a purine analog that is metabolized inside cells to thioguanine nucleotides. These nucleotides become incorporated into DNA and RNA, disrupting purine synthesis, leading to cytotoxicity in rapidly dividing cells and suppressing immune cell proliferation.

The dose of Lanvis is individualized by the prescribing physician based on the specific indication, patient weight, renal and hepatic function, and treatment protocol. Clinicians calculate the appropriate amount and schedule, and patients should follow the prescribed regimen exactly.

The safety of tioguanine during pregnancy or lactation has not been definitively established. It should only be used if the potential benefits justify the potential risks to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To place an order, submit an enquiry on the Lanvis product page at gnhindia.com, providing the required quantity and institutional credentials. GNH India works with hospitals, pharmacies, and procurement teams worldwide, confirming trade or institutional verification before supplying pricing, availability, shipping details, and any necessary import documentation.

The primary alternative to tioguanine is mercaptopurine, another purine analog used in similar hematologic and inflammatory conditions. While both agents inhibit purine synthesis, tioguanine may have a different toxicity profile and dosing schedule; selection depends on patient tolerance, disease characteristics, and physician preference.

Lanvis should be stored at temperatures below 25 °C, in its original packaging, protected from moisture and direct sunlight. Keep the product out of reach of children and avoid exposure to excessive heat or humidity, which could compromise stability.

Lanvis is taken orally, typically as a tablet, with or without food as directed by the prescribing clinician. The exact administration schedule, such as daily or intermittent dosing, is determined by the treating physician based on the therapeutic goal and patient response.

The most serious risks include severe myelosuppression leading to life‑threatening infections or bleeding, hepatic toxicity, pancreatitis, and the potential development of secondary malignancies. Patients should be monitored regularly for blood counts, liver enzymes, and any signs of infection or organ dysfunction.

Lanvis is contraindicated in patients with known hypersensitivity to tioguanine or other purine analogs, those with severe hepatic impairment, and individuals with active uncontrolled infections. Caution is also advised for patients with significant bone marrow suppression or those receiving other myelosuppressive therapies.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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