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Azapure Tablet

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Product introduction

Azapure 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.

Azapure Tablet works by weakening the body’s immune system, so it does not attack the new organ. The amount of medicine to be taken and how often you need to take it will depend on the type of transplant you have. Follow your doctor’s instructions on this. You should take it along with food. Take the medicine regularly to get the most benefit and keep taking it even if you feel well. If you stop taking it, you may increase the chances of rejecting your transplanted organ.

It has many potential side effects. The most common are loss of appetite, nausea, and increased risk of bleeding. Because it suppresses your immune system, you may catch infections easily. There’s also an increased risk of developing some cancers for this reason. You should ask your doctor about side effects that may need urgent medical attention.

Azapure 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 if you have any unexpected bruising or bleeding. Your doctor also needs to know what other medicines you are taking as there are many which 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.

Benefits of Azapure Tablet

In Prevention of organ rejection in transplant patients

Azapure 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.

In Treatment of Rheumatoid arthritis

Azapure Tablet works by blocking the action of some chemicals which 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 is preventing future harm as well as improving your symptoms.

Side effects of Azapure 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 Azapure

  • Decreased white blood cell count
  • Increased bleeding tendency
  • Nausea
  • Infection
  • Loss of appetite

How to use Azapure 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. Azapure Tablet is to be taken with food.

How Azapure Tablet works

Azapure Tablet is an immunosuppressant. It reduces the action of body's own 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 Azapure Tablet. Please consult your doctor.
Pregnancy
CONSULT YOUR DOCTOR
Azapure 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
CONSULT YOUR DOCTOR
Azapure Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving
CONSULT YOUR DOCTOR
It is not known whether Azapure Tablet alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react.
Kidney
CAUTION
Azapure Tablet should be used with caution in patients with kidney disease. Dose adjustment of Azapure Tablet may be needed. Please consult your doctor.
Use of Azapure Tablet is not recommended in patients with serious kidney disease.
Liver
CAUTION
Azapure Tablet should be used with caution in patients with liver disease. Dose adjustment of Azapure Tablet may be needed. Please consult your doctor.
Use of Azapure 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 Azapure Tablet?

If you miss a dose of Azapure 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.
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Quick tips

  • Your doctor has prescribed Azapure Tablet to stop the body from rejecting a transplanted organ (e.g. kidney, heart or liver).
  • Azapure Tablet also relieves joint pain and inflammation in rheumatoid arthritis.
  • You may have to take additional medications along with Azapure Tablet for better relief of symptoms.
  • Avoid contact with people who have 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 or planning to conceive or breastfeeding.

Fact Box

Chemical Class
Nucleoside Analog, and Purines
Habit Forming
No
Therapeutic Class
ANTI NEOPLASTICS
Action Class
Immunosuppressant- Purine analogs

Interaction with drugs

Taking Azapure with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Concurrent use may cause a decrease in the ability of the bone marrow to produce blood cells. Do not consume Lenograstim from 24 hours before until 24 hours after undergoing cytot... More
Concurrent use may cause a decrease in the ability of the bone marrow to produce blood cells. Do not consume Azathioprine from 1 day before until 1 day after taking Sargramostim. ... More
Concurrent use may cause a decrease in the ability of the bone marrow to produce blood cells. Do not consume Azathioprine from 14 days before until 24 days after taking Pegfilgras... More
Concurrent use may increase the risk of infections. Do not use Azathioprine with Herpes Zoster / Shingles Vaccine (Recombinant, Adjuvanted). If essential, please consult your doct... More
Concurrent use may cause a decrease in the ability of the bone marrow to produce blood cells. Do not consume Filgrastim from 24 hours before and until 24 hours after taking Azathi... More

Patient concerns

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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
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User feedback


FAQs

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

Azapure 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. Azapure Tablet is used in combination with other medicines to treat the conditions caused due to this abnormal activity of the immune system. It is used to prevent rejection of transplanted organs, like the kidney, heart or liver. It is also used to treat chronic active hepatitis, severe rheumatoid arthritis, systemic lupus erythematosus (SLE), idiopathic thrombocytopenic purpura and acquired hemolytic anemia. It is also used to treat severe cases of specified skin diseases (pemphigus vulgaris, dermatomyositis, polyarteritis nodosa, pyoderma gangrenosa), especially when corticosteroids cannot be used.

How long does Azapure Tablet take to start working?

It may take about 3 to 12 weeks before you see any benefits. Continue the medication even if you do not notice any benefits. Talk to your doctor if you face any issues.

What happens if I forget to take Azapure Tablet?

If you miss a dose of Azapure Tablet, take it as soon as you remember. However, skip the missed dose if it is time for your next dose. Do not take a double dose to compensate for the missed dose. inform your doctor if the dose is frequently missed.

How long do I need to take Azapure Tablet?

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

Is breastfeeding safe during Azapure Tablet treatment?

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

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

Being an immunosuppressant, Azapure Tablet can increase the chances of severe infections, decrease in 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 skin or any change in the marks which were previously present.

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

Azapure Tablet reduces the production of 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 in 3 months time.

Can Azapure Tablet cause cancer?

Azapure 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.

Can cyclosporine and Azapure Tablet be taken together?

Yes, you can take cyclosporine and Azapure Tablet together as they do not interfere with each other’s working. However, you must take the two medicines strictly as per your doctor’s advice.

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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

  1. 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.
  2. 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.
  3. 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.
  4. Azathioprine. San Diego, California: Prometheus Laboratories Inc.; 2014. [Accessed 06 Apr. 2019] (online) Available from:External Link
  5. 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:External Link
  6. Oxford Radcliffe Hospitals: NHS Trust. Azathioprine - General Information; 2012. [Accessed 17 Jun. 2019]. (online) Available from:External Link
  7. Azathioprine [Product Information]. Parsippany, NJ: Ascend Laboratories, LLC; 2021. [Accessed 09 Jun, 2023] (online) Available from:External Link
  8. 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:External Link

Marketer details

Name: Intas Pharmaceuticals Ltd
Address: Chinubhai Centre, Off. Nehru Bridge, Ashram Road, Ahmedabad - 380009. Gujarat. India.
Country of origin: India
Expires on or after: September, 2025

A licensed vendor partner from your nearest location will deliver Azapure Tablet. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.

In case of any issues, contact us

Email ID: [email protected]
Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India

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