Azanol Tablet belongs to a group of medicines called immunosuppressants. It is used with other medicines to prevent your body from rejecting an organ (such as a kidney, heart, or liver) after a transplant. It is also used in the treatment of rheumatoid arthritis.

The dose of Azanol Tablet and how often you need to take it will depend on whether you have had a transplant or are being treated for rheumatoid arthritis. Follow your doctor’s instructions on this. You can take it with or without food. Take the medicine regularly to get the most benefit and keep taking it even if you feel well. If you stop taking it, the risk of organ rejection may increase, and if you're using it for rheumatoid arthritis, your symptoms may not improve.

The most common side effects of Azanol Tablet are nausea and reduction of white blood cells and bone marrow function. Because it suppresses your immune system, you may catch infections easily. There is also an increased risk of developing some cancers for this reason. You should ask your doctor about side effects that may require urgent medical attention.

Azanol Tablet can cause birth defects and miscarriages, so do not take it if you are pregnant, planning to become pregnant, or breastfeeding. You should talk to your doctor before taking this medicine if you have any signs of infection or any unexpected bruising or bleeding. Let your doctor also know what other medications you are taking, as some may interact with this medicine and affect the way it works. You will have regular tests to check for any changes in the number of your blood cells.

Uses of Azanol Tablet

Benefits of Azanol Tablet

In Treatment of Rheumatoid arthritis

Azanol Tablet works by blocking the action of some chemicals that cause inflammation. It can help reduce pain, stiffness, and swelling in your joints and slow down the progression of bone and joint damage. This will help you do normal daily activities more easily and thus improve your quality of life. This medicine should be taken at the same time each day to get maximum benefits. Keep taking it even if you feel well because it prevents future harm as well as improves your symptoms.

In Prevention of organ rejection in transplant patients

Azanol Tablet is an immunosuppressive agent that lowers your immune response and reduces the chance of your body attacking the transplanted organ. Organ rejection happens when your immune system treats the new organ as an invader and attacks it. This medicine may be used in combination with other medicines to suppress the immune system and help your body accept the new organ.

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Side effects of Azanol Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Azanol

Viral infection
Fungal infection
Bacterial infection
Decreased white blood cell count
Bone marrow disorder
Increased bleeding tendency
Nausea

How to use Azanol Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Azanol Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Azanol Tablet works

Azanol Tablet is an immunosuppressant. It reduces the action of the body's defense system (the immune system) and prevents rejection of the transplanted organ. It also blocks the action of certain chemical messengers that are responsible for inflammation, swelling, and redness associated with certain joint diseases.

Safety advice

Alcohol

CONSULT YOUR DOCTOR

It is not known whether it is safe to consume alcohol with Azanol Tablet. Please consult your doctor.

Pregnancy

CONSULT YOUR DOCTOR

Azanol Tablet is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.

Breast feeding

UNSAFE

Azanol Tablet is unsafe to use during breastfeeding. Data suggests that the drug may cause toxicity to the baby.

Driving

CONSULT YOUR DOCTOR

It is not known whether Azanol Tablet alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react.

Kidney

CAUTION

Azanol Tablet should be used with caution in patients with kidney disease. Dose adjustment of Azanol Tablet may be needed. Please consult your doctor.
Use of Azanol Tablet is not recommended in patients with serious kidney disease.

Liver

CAUTION

Azanol Tablet should be used with caution in patients with liver disease. Dose adjustment of Azanol Tablet may be needed. Please consult your doctor.
Use of Azanol Tablet is not recommended in patients with severe liver disease. Regular monitoring of liver function tests is advisable while you are taking this medicine.

What if you forget to take Azanol Tablet?

If you miss a dose of Azanol Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Azanol Tablet

₹10.7/Tablet

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₹11.8/tablet

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Azapure Tablet

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₹9.6/tablet

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₹11.7/tablet

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Quick tips

You may have to take additional medications along with Azanol Tablet for better relief of symptoms.
Avoid contact with people who have a cold, flu, or other contagious illness. Notify your doctor if you have any signs of infection, such as a fever or sore throat.
Inform your doctor if you are pregnant, planning to conceive, or breastfeeding.

Fact Box

Chemical Class

Nucleoside Analog, and Purines

Habit Forming

Therapeutic Class

ANTI NEOPLASTICS

Action Class

Immunosuppressant- Purine analogs

Interaction with drugs

Taking Azanol with any of the following medicines can modify the effect of either of them and cause some undesirable side effects

Lenograstim (Injection Route) Life-threatening

Do not consume Lenograstim from 24 hours before until 24 hours after undergoing cytotoxic chemotherapy. Concurrent use may cause a decrease in the ability of the bone marrow to pr... More

Sargramostim (Injection Route) Life-threatening

Do not consume Azathioprine from 1 day before until 1 day after taking Sargramostim. Please consult your doctor. Concurrent use may cause a decrease in the ability of the bone mar... More

Pegfilgrastim (Injection Route) Life-threatening

Do not consume Azathioprine from 14 days before until 24 days after taking Pegfilgrastim. Please consult your doctor. Concurrent use may cause a decrease in the ability of the bon... More

Cholera Vaccine (Inactivated) (Oral Route) Severe

Do not use Azathioprine with Cholera Vaccine (Inactivated). If Azathioprine is essential, ensure a gap of at least 6 months after discontinuing Cholera Vaccine (Inactivated). Pleas... More

Leflunomide (Oral Route) Severe

If concurrent use is essential, your doctor may monitor your treatment and adjust the doses as per the observations. Concurrent use may increase the risk of damage to the liver an... More

View all drug interactions

Patient concerns

Sir/Ma'am, I feel pain in the heel of both the legs especially when I get up from the bed in the morning. After walking couple of steps, it goes away. there is no bone problem reported in the Xray report. Please guide me what could be the reason?

Dr. Mehtab Baig

Orthopaedic Physiotherapy

This is the test for rheumatoid arthritis

Suffering from type 2 diabetes rheumatoid arthritis , asthma which medicine should I use

Dr. Jagruti Mahendra Parikh

Diabetology

Most of the diabetic drugs can be given in Rheumatoid arthritis and asthma patients however however steroids treatments is given many times in asthma and Rhumatoid arthritis should be given with very caution in diabetic patients if indicatedMost suitable some times are insulin injections

User feedback

Patients taking Azanol Tablet

Once A Day

57%

Twice A Day

43%

What are you using Azanol Tablet for?

Others

100%

FAQs

What is Azanol Tablet prescribed for? How does it work?

Azanol Tablet is an immunosuppressant, which means that it acts by suppressing the immune defense system of the body. Your immune defense system helps to protect you against infections. However, sometimes your immune defense system can become overactive and can cause illness. Azanol Tablet is used in combination with other medicines to treat the conditions caused by this abnormal activity of the immune system. It is used to prevent the rejection of transplanted organs, like the kidney, heart, or liver. It is also used to treat rheumatoid arthritis.

How long do I need to take Azanol Tablet?

The duration varies from person to person, as it is prescribed depending on the patient’s medical condition.

Is breastfeeding safe during Azanol Tablet treatment?

No, breastfeeding should be avoided while on Azanol Tablet, since it may harm the baby and cause serious side effects.

I have just started taking Azanol Tablet. What are the long-term side effects? Is there anything I should be looking out for?

Being an immunosuppressant, Azanol Tablet can increase the chances of severe infections and decrease blood cell counts, and malignancy. You should inform your doctor immediately if you notice any infection or fever, unexpected bruising or bleeding, black tarry stools, or blood in the urine or stools. Let your doctor know if you notice any new skin sore or lump, new marks on the skin, or any change in the marks that were previously present.

Do I need any special tests while I am on Azanol Tablet?

Azanol Tablet reduces the production of white blood cells, making you more vulnerable to infections, and can sometimes affect the liver. These side effects can be monitored by regular blood tests. Therefore, during the first 8 weeks of the treatment, your doctor may recommend weekly blood tests to monitor complete blood counts, including platelet counts. The frequency can later be reduced to monthly or at least once every 3 months.

Can Azanol Tablet cause cancer?

Azanol Tablet may increase the chance of developing certain cancers like skin cancer, cancer of the lymph system (lymphoma), cancer of soft tissues (sarcomas), and cervical cancer. To prevent the risk of skin cancer, avoid prolonged exposure to sunlight and wear protective clothing, sunglasses, and sunscreen. Tell your doctor immediately if you notice any changes in your skin or any lumps or masses anywhere on your body.

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Related lab tests

Rheumatoid Factor - Agglutination

Rheumatoid Factor - Turbidometry

Rheumatoid Factor IgG Antibody

Related ayurvedic ingredients

Fish Oil

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Disclaimer:

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

Krensky AM, Bennett WM, Vincenti F. Immunosuppressants, Tolerogens, and Immunostimulants. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. New York, New York: McGraw-Hill Medical; 2011. pp. 1013-14.
Furst DE, Ulrich RW, Varkey-Altamirano C. Nonsteroidal Anti-Inflammatory Drugs, Disease Modifying Antirheumatic Drugs, Nonopioids Analgesics, & Drugs Used in Gout. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 629-30.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. p. 113-15.
Azathioprine [Prescribing Information]. San Diego, California: Prometheus Laboratories Inc.; 2014. [Accessed 06 Apr. 2019] (online) Available from:
Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 03 Apr. 2019] (online) Available from:
Azathioprine [Product Information]. Parsippany, NJ: Ascend Laboratories, LLC; 2021. [Accessed 09 Jun, 2023] (online) Available from:
Mohammadi O, Kassim TA. Azathioprine. [Updated 2023 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. [Accessed 09 Jun, 2023] (online) Available from:
Azathioprine [EMC Label]. Luton, UK: Tillomed Laboratories Ltd.; 2025. [Accessed 25 Feb. 2025] (online) Available from:

Marketer details

Name: Dermakare Pharmaceuticals Pvt Ltd

Address: 32 Basant Vihar, Choti Mukhani, Haldwani Nainital, Uttarakhand

Country of origin: India

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