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 in the treatment of certain hematologic malignancies, primarily in adult and pediatric patients requiring chemotherapy.\n\nGNH 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

  • Tioguanine is a thiopurine antineoplastic agent used in the treatment of certain hematologic malignancies.\n\nAcute lymphoblastic leukemia: provides maintenance therapy to reduce relapse risk.\nAcute myeloid leukemia: incorporated into induction or consolidation regimens.\nChronic myeloid leukemia: used in specific disease phases as part of combination therapy.

How It Works

  • Tioguanine is converted intracellularly to thioguanine nucleotides, which become incorporated into DNA and RNA, disrupting purine synthesis. This incorporation interferes with nucleic acid function and triggers cytotoxicity, preferentially affecting rapidly dividing cells such as malignant leukemic blasts.

Side Effects

  • Tioguanine may cause a range of adverse reactions.\n\nCommon Side Effects:\n- Nausea and vomiting\n- Myelosuppression (neutropenia, anemia, thrombocytopenia)\n- Elevated liver enzymes\n- Mucositis or oral ulceration\n- Rash or mild skin irritation\n\nSerious or Rare Side Effects:\n- Severe bone‑marrow failure leading to life‑threatening infections\n- Hepatic veno‑occlusive disease\n- Secondary malignancies\n- Pancreatitis\n- Severe hypersensitivity reactions including anaphylaxis\n- Neurological toxicity such as seizures

Precautions & Warnings

  • Before initiating therapy, several precautions should be observed.\n\nMonitor blood counts: perform regular complete blood count assessments.\nAssess liver function: schedule periodic liver enzyme tests.\nEvaluate renal function: adjust dosing if significant impairment is present.\nAvoid use in patients with known hypersensitivity to thiopurines.\nUse effective contraception during treatment and for a defined period after discontinuation.\nStore at ambient temperature: keep in the original pack, protect from moisture and light.

Avoid Interactions

  • Tioguanine interacts with several medicines that may alter its safety or efficacy.\n\nMajor Interactions (Avoid):\n- Allopurinol: increases risk of severe myelosuppression.\n- Azathioprine: additive thiopurine toxicity.\n- Warfarin: may enhance anticoagulant effect.\n\nModerate Interactions (Monitor Closely):\n- NSAIDs: potential renal function impact.\n- Oral contraceptives: reduced hormonal efficacy.\n- Anticonvulsants (enzyme inducers): may lower tioguanine levels.

Frequently Asked Questions

Lanvis contains tioguanine, a thiopurine antineoplastic used primarily in the treatment of certain blood cancers such as acute lymphoblastic leukemia, acute myeloid leukemia, and chronic myeloid leukemia. It is incorporated into chemotherapy regimens to inhibit the proliferation of malignant cells.

Tioguanine is metabolized inside cells to thioguanine nucleotides, which become incorporated into DNA and RNA, disrupting purine synthesis. This leads to faulty nucleic acid function and cytotoxicity, especially in rapidly dividing cells like leukemic blasts.

The dose of Lanvis is individualized by the prescribing physician based on the patient’s age, weight, disease type, and laboratory parameters. Clinicians calculate the appropriate amount and schedule, and adjustments are made according to therapeutic response and tolerance.

Safety of tioguanine in pregnancy and lactation has not been definitively established. It is generally considered contraindicated or used only when the potential benefit outweighs the risk. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternatives with their healthcare provider.

To order Lanvis, 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 and any necessary import documentation.

Lanvis (tioguanine) is one of several thiopurine agents, alongside mercaptopurine and azathioprine. Compared with mercaptopurine, tioguanine has a higher intracellular conversion to active nucleotides, which may result in different efficacy or toxicity profiles. Choice of agent depends on disease, patient tolerance and physician preference.

Lanvis should be stored at ambient temperature, below 25 °C, in its original container. Keep the product away from moisture, direct sunlight and excessive heat. Ensure the packaging remains sealed until use to maintain stability.

Lanvis is taken orally, usually as a tablet swallowed whole with water. It may be administered with or without food, according to the prescribing clinician’s instructions. Patients should follow the dosing schedule provided and not alter the regimen without medical advice.

The most serious risks include severe bone‑marrow suppression leading to neutropenia or anemia, hepatic veno‑occlusive disease, and increased susceptibility to infections. Rare but life‑threatening reactions such as hypersensitivity, pancreatitis, or secondary malignancies may also occur, requiring immediate medical attention.

Lanvis is contraindicated in individuals with known hypersensitivity to tioguanine or other thiopurines. Patients with severe hepatic impairment, uncontrolled infections, or pre‑existing severe bone‑marrow failure should avoid the drug. Use is also discouraged in pregnant or nursing women unless clearly justified by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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