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 oral formulation for systemic use. It interferes with nucleic acid synthesis and is used in the treatment of specific acute leukemias and other hematologic malignancies, providing cytotoxic activity against rapidly dividing cancer cells.\n\nGNH India supplies Lanvis as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide, ensuring consistent quality and regulatory compliance across global markets.

Manufacturer / TM Owner

Aspen Pharma Trading Limited

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Indications & Clinical Uses

  • Tioguanine is a purine analog used in the treatment of hematologic malignancies.\n\n- Acute Myeloid Leukemia (AML): contributes to remission induction and maintenance therapy.\n- Acute Lymphoblastic Leukemia (ALL): used as part of combination chemotherapy regimens.\n- Chronic Myeloid Leukemia (CML): employed in cases resistant to first‑line tyrosine‑kinase inhibitors.

How It Works

  • Tioguanine is metabolized intracellularly to thioguanine nucleotides, which become incorporated into DNA and RNA in place of normal purine bases. This incorporation disrupts nucleic acid synthesis, leading to faulty replication and transcription, and triggers apoptosis in rapidly proliferating cells, particularly malignant leukemic blasts. Additionally, the metabolites inhibit de novo purine synthesis, further depleting nucleotide pools essential for cell division.

Side Effects

  • Tioguanine may cause a range of adverse reactions, varying from mild to severe.\n\nCommon Side Effects:\n- Nausea and vomiting: gastrointestinal upset occurring early in therapy.\n- Diarrhea: loose stools that may require supportive care.\n- Myelosuppression: reduced white blood cells, red cells, or platelets.\n- Hepatotoxicity: elevated liver enzymes or mild liver dysfunction.\n- Mucositis: inflammation of the mouth and gastrointestinal lining.\n\nSerious or Rare Side Effects:\n- Severe bone marrow failure: pancytopenia requiring transfusion.\n- Hepatic veno‑occlusive disease: liver vein blockage leading to liver dysfunction.\n- Secondary malignancies: increased risk of therapy‑related cancers.\n- Life‑threatening infections: due to profound immunosuppression.\n- Hypersensitivity reactions: rash, fever, or anaphylaxis.

Precautions & Warnings

  • When prescribing Tioguanine, clinicians should observe several safety considerations to minimize risk.\n\n- Baseline blood counts: obtain complete blood count before initiation and monitor regularly.\n- Liver function monitoring: assess hepatic enzymes and bilirubin at baseline and during treatment.\n- Renal impairment: adjust use in patients with severe kidney dysfunction.\n- Pregnancy and lactation: avoid use unless benefits outweigh potential fetal risks.\n- Concomitant myelosuppressive agents: use with caution to prevent excessive bone‑marrow toxicity.\n- Store at ambient temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

  • Tioguanine interacts with several medicines that can alter its efficacy or toxicity.\n\nMajor Interactions (Avoid):\n- Allopurinol: increases thioguanine nucleotide levels, raising risk of severe myelosuppression.\n- Azathioprine: additive cytotoxicity leading to heightened bone‑marrow suppression.\n- Warfarin: potentiates anticoagulant effect, requiring close INR monitoring.\n\nModerate Interactions (Monitor Closely):\n- NSAIDs: may increase gastrointestinal irritation and bleeding risk.\n- Sulfonamide antibiotics: can enhance myelosuppressive effects.\n- Fluoroquinolones: may interfere with hepatic metabolism, necessitating periodic blood count checks.

Frequently Asked Questions

Lanvis contains the active ingredient tioguanine and is used as an antineoplastic agent in the management of certain acute leukemias, including acute myeloid leukemia (AML) and acute lymphoblastic leukemia (ALL), as well as selected cases of chronic myeloid leukemia (CML).

Tioguanine is converted inside cells to thioguanine nucleotides, which become incorporated into DNA and RNA. This incorporation disrupts nucleic acid synthesis, impairs cell replication, and induces apoptosis in rapidly dividing malignant cells, while also inhibiting de novo purine synthesis.

The dose of Lanvis is individualized by the prescribing clinician based on the patient’s diagnosis, disease stage, body surface area, and laboratory parameters. Specific dosing regimens are not provided here and should follow the prescriber’s instructions.

Safety data for tioguanine in pregnancy and lactation are limited. Because the drug can affect rapidly dividing cells, it is generally avoided during pregnancy and breastfeeding unless the potential therapeutic benefit justifies the potential risk to the fetus or infant.

To order Lanvis, submit an enquiry on the product page at gnhindia.com indicating 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 and any required import documentation.

Lanvis (tioguanine) is chemically related to other purine analogs such as mercaptopurine and azathioprine. While all share a similar mechanism of interfering with nucleic acid synthesis, tioguanine has a distinct metabolic pathway and may be preferred in certain leukemia protocols due to its pharmacokinetic profile.

Lanvis should be stored at ambient temperature, below 25 °C, in its original packaging. Keep the product protected from moisture and direct light to maintain stability. Do not store in a refrigerator or freezer unless specifically instructed by the manufacturer.

Lanvis is administered orally. The tablets (or other oral form) are taken with a full glass of water, usually on an empty stomach or as directed by the treating physician. Swallow the dose whole; do not crush or chew unless advised otherwise.

The most serious risks include severe bone‑marrow suppression leading to pancytopenia, hepatic veno‑occlusive disease, life‑threatening infections due to immunosuppression, and the potential for secondary malignancies. Patients should be monitored closely for signs of these complications.

Lanvis should not be used in patients with known hypersensitivity to tioguanine or any component of the formulation, in those with severe hepatic or renal impairment without dose adjustment, and in pregnant or breastfeeding women unless the benefits outweigh the risks.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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