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 tablet for oral use. It is employed as an immunosuppressant in the treatment of certain leukemias and inflammatory bowel disease, targeting rapidly dividing cells in affected patients.
GNH India supplies Lanvis as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Aspen Pharma Trading Limited

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Indications & Clinical Uses

  • Lanvis (tioguanine) is used in diseases where abnormal proliferation of lymphoid or myeloid cells occurs, or where immune modulation is required.
  • Acute lymphoblastic leukemia: helps achieve remission by inhibiting malignant lymphoblast proliferation.
  • Chronic myeloid leukemia: contributes to disease control when used in combination regimens.
  • Inflammatory bowel disease: reduces inflammatory activity and maintains remission in ulcerative colitis or Crohn's disease.

How It Works

  • Tioguanine is metabolised intracellularly to thioguanine nucleotides, which are incorporated into DNA and RNA as fraudulent nucleotides. This incorporation disrupts nucleic acid synthesis, leading to impaired cell replication and cytotoxicity, particularly in rapidly dividing lymphoid and myeloid cells, thereby exerting immunosuppressive and antineoplastic effects.

Side Effects

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

Common Side Effects

  • Nausea or vomiting
  • Diarrhoea
  • Mild rash or skin irritation
  • Transient elevation of liver enzymes
  • Decreased white blood cell count (leukopenia)

Serious or Rare Side Effects

  • Severe bone‑marrow suppression leading to pancytopenia
  • Life‑threatening infections due to immunosuppression
  • Hepatic toxicity or jaundice
  • Acute pancreatitis
  • Secondary malignancies such as lymphomas
  • Severe hypersensitivity reactions including Stevens‑Johnson syndrome

Precautions & Warnings

  • Tioguanine requires careful monitoring and patient education before and during therapy.
  • Monitor blood counts regularly: detect early bone‑marrow suppression.
  • Assess liver function: watch for hepatotoxicity.
  • Avoid use in patients with known hypersensitivity to thiopurines.
  • Use caution in renal impairment: dose adjustment may be needed.
  • Store at room temperature: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

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

Major Interactions (Avoid)

  • Azathioprine: additive immunosuppression increases risk of severe cytopenias.
  • Allopurinol: can markedly raise tioguanine levels, leading to toxicity.
  • Warfarin: may enhance anticoagulant effect, raising bleeding risk.

Moderate Interactions (Monitor Closely)

  • Methotrexate: combined myelosuppression requires frequent blood‑count checks.
  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): may increase gastrointestinal irritation.
  • Trimethoprim‑sulfamethoxazole: can potentiate bone‑marrow suppression.

Frequently Asked Questions

Lanvis contains tioguanine and is indicated for the treatment of acute lymphoblastic leukemia, chronic myeloid leukemia, and inflammatory bowel disease such as ulcerative colitis or Crohn's disease. In each case it helps control abnormal cell growth or modulate the immune response as part of a prescribed therapeutic regimen.

Tioguanine is converted inside cells to thioguanine nucleotides, which become incorporated into DNA and RNA. This fraudulent incorporation interferes with nucleic‑acid synthesis, leading to reduced replication of rapidly dividing cells, especially malignant lymphoid or myeloid cells, and produces an overall immunosuppressive effect.

The dose of Lanvis is individualized by the treating physician based on the specific indication, patient weight, renal and hepatic function, and response to therapy. Only a qualified prescriber can determine the appropriate dosing schedule and any necessary adjustments.

Safety data for tioguanine in pregnancy and lactation are limited. The drug may cross the placenta and be excreted in breast milk, potentially affecting the fetus or infant. Use only if the potential benefit justifies the potential risk, and discuss alternatives with a healthcare professional.

To place an order, submit an enquiry on the Lanvis 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 the necessary import documentation.

Both tioguanine (Lanvis) and azathioprine belong to the thiopurine class and share a similar mechanism of incorporating fraudulent nucleotides into DNA/RNA. Tioguanine is often used when azathioprine is ineffective or not tolerated, but both require careful monitoring for bone‑marrow suppression and liver toxicity. Choice depends on clinical response, tolerability and physician preference.

Lanvis should be stored at room temperature, below 25 °C, in its original packaging to protect it from moisture and light. Keep the product away from excessive heat and humidity, and ensure the container is tightly closed when not in use.

Lanvis is taken orally, usually as a tablet, with or without food as directed by the prescriber. The exact timing and frequency depend on the individual treatment plan, and patients should follow the dosing instructions provided by their healthcare professional.

The most serious risks include severe bone‑marrow suppression leading to pancytopenia, life‑threatening infections due to immunosuppression, hepatic toxicity, pancreatitis, and rare but severe hypersensitivity reactions such as Stevens‑Johnson syndrome. Patients should be monitored closely for signs of infection, abnormal blood counts, or liver dysfunction.

Lanvis is contraindicated in patients with known hypersensitivity to tioguanine or other thiopurines, in those with severe hepatic impairment, and in individuals with active, uncontrolled infections. Caution is also advised for patients with significant renal dysfunction, pregnant or breastfeeding women, and anyone taking interacting medications without appropriate monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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