Azatioprina
Azapress, Imuran
Peer reviewed by Sid DajaniLast updated by Michael Stewart, MRPharmSLast updated 15 Sept 2022
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Azathioprine will be prescribed for you by a specialist doctor.
Swallow the tablets whole with plenty of water, after a meal. Do not crush or break the tablets.
Azathioprine may reduce your body's resistance to infections. Try to keep away from people who you know are ill. It is important to protect yourself from serious illness by having any vaccinations your doctor offers you.
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About azathioprine
Tipo de medicamento | Un inmunosupresor |
Utilizado para | To prevent organ rejection following transplant operations To treat chronic inflammatory and autoimmune conditions |
También llamado | Azapress®; Imuran® |
Disponible como | Comprimidos, medicamentos orales líquidos e inyectables |
Azathioprine is an immunosuppressant, which simply means that it suppresses your immune, or defence, system. It is used to help prevent rejection following organ transplant operations and also to treat a variety of long-term (chronic) inflammatory and autoimmune conditions, such as rheumatoid arthritis, systemic lupus erythematosus, and Crohn's disease.
Following organ transplant operations, it is natural for your body to try to reject the new tissue as it regards it as 'foreign'. By suppressing your defence system, azathioprine helps to prevent your body from fighting the new organ.
In chronic inflammatory and autoimmune conditions your immune system attacks part of your own body as if it were foreign. Azathioprine reduces inflammation and the symptoms it causes because it suppresses your immune system.
Before taking azathioprine
Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking azathioprine it is important that your doctor or pharmacist knows:
Si está embarazada, esperando un bebé o en período de lactancia.
Si tiene problemas hepáticos o renales.
If you have any infection.
If you have ever had chickenpox or shingles.
If you have been told you have a rare, inherited metabolic disorder called Lesch-Nyhan syndrome or you have a lack of an enzyme called TPMT.
Si toma o utiliza otros medicamentos. Esto incluye cualquier medicamento que esté tomando y que pueda adquirirse sin receta, así como medicamentos a base de plantas y complementarios.
If you have ever had an allergic reaction to a medicine. It is particularly important that you tell your doctor if you are allergic to a medicine called mercaptopurine.
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How to take azathioprine
Before you start this treatment, read the manufacturer's printed information leaflet from inside your pack. The leaflet will give you more information about azathioprine, how to take it, and a full list of side-effects which you may experience from taking it.
Your doctor will prescribe a dose for you which is tailored to your weight and the reason why you are taking it. Make sure you take the tablets exactly as your doctor has told you - your dose will be on the label of the pack to remind you.
Take the tablets after eating a meal or with a snack. This will help to stop any feelings of queasiness or nausea. Drink plenty of water as you take the tablets.
Do not drink milk or eat dairy products (such as yoghurt) at the same time as taking your azathioprine dose. Dairy products contain an enzyme which can break down azathioprine making your treatment less effective.
Try to take your doses at the same time of day each day, as this will help you to remember to take them. If you forget to take a dose at the usual time, take one as soon as you remember, but do not take two doses together to make up for a missed dose.
Your doctor will tell you how long your treatment is expected to continue. Keep taking azathioprine until your doctor tells you otherwise.
Aproveche al máximo su tratamiento
Try to keep your regular appointments with your doctor. This is so your doctor can check on your progress. Your doctor will want you to have regular blood tests during this treatment, to monitor for unwanted side-effects.
Este medicamento disminuye su protección natural contra las infecciones. Es importante que se proteja de las enfermedades graves vacunándose con las vacunas que le indique su médico. Si vive con otras personas, ellas también pueden ayudarle a protegerse vacunándose.
Algunas vacunas pueden no ser adecuadas para personas con el sistema inmunitario debilitado. Informe siempre a la persona que le vacune de que está tomando este medicamento.
It is important to try to avoid anyone who has chickenpox or shingles. Tell your doctor if you come into contact with anyone with these infections.
Your doctor will have discussed with you the possibility of a slightly increased risk of cancer (particularly skin cancer) associated with immunosuppressants like azathioprine. Do not use sunbeds, and avoid strong sunlight or use a sun cream with a high sun protection factor (SPF of at least 15).
You should avoid becoming pregnant while you or your partner are taking azathioprine. Make sure you have discussed with your doctor which types of contraception are suitable for you and your partner.
If you are having an operation or any dental treatment, tell the person carrying out the treatment that you are taking azathioprine.
Si compra algún medicamento, compruebe con su médico o farmacéutico que es adecuado para tomarlo con sus otros medicamentos.
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Can azathioprine cause problems?
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with azathioprine. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following side-effects continue or become troublesome.
Azathioprine side-effects | ¿Qué debo hacer si me ocurre esto? |
Feeling extremely tired or dizzy, being sick (vomiting), loose or watery stools (diarrhoea), a high temperature (fever), muscle pain or stiffness, skin rash, kidney problems (such as a change in the amount or colour of your urine) | These may be signs of an allergic reaction. Let your doctor know straightaway |
Feeling unwell, a high temperature, a sore throat or symptoms of an infection | Let your doctor know straightaway. This is especially important if you have been near anyone with chickenpox or shingles |
Moratones o hemorragias inesperadas | These are symptoms of bone marrow suppression. Let your doctor know about this straightaway |
Pérdida de cabello | This may resolve on its own, but speak with your doctor if it becomes troublesome |
If you experience any other symptoms which you think may be due to this medicine, speak with your doctor or pharmacist for advice.
How to store azathioprine
Mantenga todos los medicamentos fuera del alcance y de la vista de los niños.
Almacenar en un lugar fresco y seco, lejos del calor y la luz directos.
Información importante sobre todos los medicamentos
Información importante sobre todos los medicamentos
No tome nunca más de la dosis prescrita. Si sospecha que usted u otra persona ha tomado una sobredosis de este medicamento, acuda al servicio de urgencias de su hospital. Llévese el envase, aunque esté vacío.
Este medicamento es para usted. Nunca se lo dé a otras personas aunque su enfermedad parezca ser la misma que la suya.
No guarde medicamentos caducados o que no desee. Llévelos a su farmacia local, que se encargará de eliminarlos por usted.
Si tiene cualquier duda sobre este medicamento pregunte a su farmacéutico.
Informar de los efectos secundarios de un medicamento o vacuna
Si experimenta efectos secundarios, puede notificarlos en línea a través del sitio web de la Tarjeta Amarilla.
Lecturas complementarias y referencias
- Manufacturer's PIL, Imuran® 25 mg and 50 mg Tablets; Aspen Pharma Trading Ltd. The electronic Medicines Compendium. Dated June 2021.
- Medicamentos BNF completa 89ª edición; Asociación Médica Británica y Real Sociedad Farmacéutica de Gran Bretaña, Londres.
Historia del artículo
La información de esta página ha sido redactada y revisada por médicos cualificados.
Next review due: 13 Mar 2027
15 Sept 2022 | Latest version

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