Product image of Mercaptopurine Aspen Pharma Trading Limited (Mercaptopurine) supplied by GNH India

Mercaptopurine Aspen Pharma Trading Limited

Active Ingredient:
Mercaptopurine
Origin:
EU

Mercaptopurine Aspen Pharma Trading Limited (Mercaptopurine)

Mercaptopurine, the active ingredient in Mercaptopurine Aspen Pharma Trading Limited, is an antimetabolite presented as an oral formulation for oral use. It is employed in the treatment of acute lymphoblastic leukemia, acute myeloid leukemia, and certain inflammatory bowel diseases, targeting malignant and proliferating cells.

GNH India supplies Mercaptopurine Aspen Pharma Trading Limited as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory‑approved batches for clinical and commercial use.

Manufacturer / TM Owner

Aspen Pharma Trading Limited

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Indications & Clinical Uses

Mercaptopurine is an antimetabolite used in hematologic malignancies and inflammatory bowel disease.

  • Acute lymphoblastic leukemia: helps achieve remission by inhibiting leukemic cell proliferation.
  • Acute myeloid leukemia: contributes to disease control through suppression of malignant myeloid cells.
  • Inflammatory bowel disease: reduces intestinal inflammation by limiting immune cell turnover.

How It Works

  • Mercaptopurine antagonizes hypoxanthine‑guanine phosphoribosyltransferase, blocking the conversion of mercaptopurine to its active nucleotides. This inhibition disrupts purine nucleotide synthesis, leading to reduced DNA and RNA formation and consequently impairs the proliferation of rapidly dividing cells such as malignant leukocytes and activated immune cells.

Side Effects

Common Side Effects

  • Nausea
  • Vomiting
  • Diarrhea
  • Bone marrow suppression (e.g., neutropenia)
  • Fatigue
  • Elevated liver enzymes

Serious or Rare Side Effects

  • Severe myelosuppression leading to infection or bleeding
  • Hepatotoxicity with jaundice or liver failure
  • Pancreatitis
  • Secondary malignancies
  • Severe hypersensitivity reactions

Precautions & Warnings

Precautions are essential to minimize toxicity and monitor patient safety.

  • Monitor blood counts: regular CBC testing to detect myelosuppression.
  • Assess liver function: periodic LFTs due to risk of hepatotoxicity.
  • Evaluate renal function: dose adjustments may be needed in renal impairment.
  • Avoid use in pregnancy unless essential: category D, potential fetal risk.
  • Counsel on infection risk: advise patients to report fever or signs of infection promptly.
  • Store at ambient temperature: keep below 25°C in original packaging, protect from moisture.

Avoid Interactions

Mercaptopurine interacts with several drugs that may alter its safety or efficacy.

Major Interactions (Avoid)

  • Allopurinol: may increase mercaptopurine toxicity; dose reduction required.
  • TPMT deficiency: high risk of severe myelosuppression.
  • Azathioprine: additive immunosuppression, increased bone marrow suppression.

Moderate Interactions (Monitor Closely)

  • Warfarin: may enhance anticoagulant effect, monitor INR.
  • Oral contraceptives: reduced efficacy, consider alternative contraception.

Frequently Asked Questions

Mercaptopurine is used to treat certain hematologic cancers, specifically acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML), as well as to manage inflammatory bowel disease (IBD) by suppressing abnormal immune activity.

Mercaptopurine inhibits the enzyme hypoxanthine‑guanine phosphoribosyltransferase, blocking the synthesis of purine nucleotides. This reduces DNA and RNA production, limiting the proliferation of rapidly dividing cells such as leukemic blasts and activated immune cells.

The dose of Mercaptopurine is individualized. A qualified prescriber determines the appropriate amount based on the specific indication, patient weight, age, renal and hepatic function, and other clinical factors.

Mercaptopurine is classified as pregnancy category D, indicating evidence of fetal risk. It should be used only when the potential benefit justifies the risk. Breastfeeding is generally not recommended because the drug can be excreted in milk.

To order Mercaptopurine, 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 necessary import documentation.

The most common alternative is azathioprine, another thiopurine. Both drugs share a similar mechanism, but mercaptopurine is often preferred for certain leukemias because it provides more direct antineoplastic activity, whereas azathioprine is primarily used for immunosuppression in autoimmune conditions.

Mercaptopurine tablets should be stored at ambient temperature, below 25 °C, in the original container to protect from moisture and light. Keep the product out of reach of children and avoid exposure to excessive heat or humidity.

Mercaptopurine is administered orally, usually as a tablet or capsule, and should be taken with or without food as directed by the prescribing clinician. Swallow the dosage form whole; do not crush or chew unless specifically instructed.

The most serious risks include severe myelosuppression leading to infection or bleeding, hepatotoxicity with potential liver failure, and rare cases of pancreatitis. Patients should report fever, unusual bruising, jaundice, or severe abdominal pain promptly.

Mercaptopurine should be avoided in patients with known thiopurine methyltransferase (TPMT) deficiency, severe liver disease, uncontrolled infections, or in pregnant women unless the benefit outweighs the risk. It is also contraindicated in individuals with hypersensitivity to the drug.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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