Product image of Mercaptopurina Silver (Mercaptopurine Monohydrate) supplied by GNH India

Mercaptopurina Silver

Active Ingredient:
Mercaptopurine Monohydrate
Origin:
EU

Mercaptopurina Silver (Mercaptopurine Monohydrate)

Mercaptopurine, the active ingredient in Mercaptopurina Silver, is an antimetabolite (purine analog) presented as an oral formulation for oral use. It is employed in the treatment of certain leukemias and inflammatory bowel diseases.
GNH India supplies Mercaptopurina Silver as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Silver Pharma S.L.

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Indications & Clinical Uses

  • Mercaptopurina Silver acts on rapidly dividing cells and immune pathways, making it useful in several hematologic and gastrointestinal conditions.
  • Acute lymphoblastic leukemia: helps achieve and maintain remission in pediatric and adult patients.
  • Maintenance therapy for leukemia: provides long‑term disease control after induction.
  • Crohn's disease: reduces intestinal inflammation and induces clinical response.
  • Ulcerative colitis: assists in attaining remission and decreasing steroid dependence.

How It Works

  • Mercaptopurine is converted intracellularly to thio‑guanine nucleotides, which inhibit de novo purine synthesis and become incorporated into DNA and RNA. This fraudulent incorporation disrupts nucleic acid function, leading to cytotoxicity in proliferating lymphocytes and malignant cells, thereby exerting immunosuppressive and antineoplastic effects.

Side Effects

Adverse reactions may occur with Mercaptopurina Silver and should be monitored.

Common Side Effects

  • Nausea or vomiting.
  • Decreased appetite.
  • Mild infections such as upper respiratory tract infections.
  • Hair thinning or loss.
  • Skin rash or itching.
  • Fatigue.

Serious or Rare Side Effects

  • Bone marrow suppression resulting in anemia, leukopenia, or thrombocytopenia.
  • Severe infections due to profound immunosuppression.
  • Hepatotoxicity with elevated liver enzymes or jaundice.
  • Pancreatitis presenting with abdominal pain.
  • Hypersensitivity reactions including fever and eosinophilia.
  • Development of secondary malignancies.

Precautions & Warnings

Before initiating therapy, clinicians should assess baseline laboratory values and patient history.

  • Monitor blood counts: perform regular CBC to detect marrow suppression.
  • Assess liver function: check transaminases and bilirubin periodically.
  • Adjust dose in renal impairment: consider reduced dosing if creatinine clearance is low.
  • Avoid use in known hypersensitivity: discontinue if allergic reactions occur.
  • Store at ambient temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Mercaptopurina Silver can interact with several medicines, altering efficacy or toxicity.

Major Interactions (Avoid)

  • Allopurinol: may increase mercaptopurine toxicity.
  • Azathioprine: additive myelosuppression due to shared metabolites.
  • TPMT deficiency (genetic): heightened risk of severe bone marrow suppression.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may increase risk of gastrointestinal irritation.
  • Warfarin: potential enhancement of anticoagulant effect, requiring INR monitoring.

Frequently Asked Questions

Mercaptopurina Silver, containing mercaptopurine, is indicated for acute lymphoblastic leukemia, maintenance therapy after leukemia remission, and inflammatory bowel diseases such as Crohn's disease and ulcerative colitis. It helps control disease activity by suppressing abnormal immune responses and malignant cell proliferation.

Mercaptopurine is metabolized inside cells to thio‑guanine nucleotides, which block the synthesis of purine bases needed for DNA and RNA. The drug also incorporates these fraudulent nucleotides into genetic material, disrupting replication and leading to cell death in rapidly dividing lymphocytes and cancer cells.

The dosage of Mercaptopurina Silver is individualized by the prescribing clinician based on the patient’s age, weight, disease severity, and laboratory parameters. Only a qualified healthcare professional should determine the appropriate dose and schedule.

Safety data for mercaptopurine in pregnancy and lactation are limited. The drug may pose risks to the fetus and infant, and its use should be considered only when the potential benefits outweigh the possible harms. Pregnant or nursing patients must discuss options with their healthcare provider.

To place an order, 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.

Both mercaptopurine and azathioprine are thiopurine immunosuppressants that share similar mechanisms, but azathioprine is a pro‑drug that is converted to mercaptopurine in the body. Mercaptopurine offers more predictable pharmacokinetics, while azathioprine may be preferred in some protocols for its dosing flexibility.

Mercaptopurina Silver should be stored at ambient temperature, below 25 °C, in its original packaging. Keep the product away from moisture, heat and direct sunlight to maintain stability and potency.

The medication is taken orally, usually as a tablet or capsule, with or without food as directed by the prescriber. Patients should follow the exact dosing schedule and avoid crushing or splitting tablets unless instructed.

The most critical risks include severe bone marrow suppression, which can lead to anemia, infections or bleeding; hepatotoxicity; pancreatitis; and the rare possibility of secondary malignancies. Regular laboratory monitoring is essential to detect these complications early.

Individuals with known hypersensitivity to mercaptopurine or any component of the formulation, patients with severe liver disease, or those with a documented TPMT deficiency that predisposes them to extreme toxicity should avoid using Mercaptopurina Silver. Clinical judgment is required for all other contraindications.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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