Purinethol (Mercaptopurine) 50 Mg 25 Tablets

PURI-NETHOL™ 50 mg tablet To be taken orally.

Active ingredient
in each tablet; Contains 50 mg of mercaptopurine.

Excipients
Lactose, corn starch, hydrolyzed starch, stearic acid, magnesium stearate

1. What is PURINETHOL and what is it used for?

PURI-NETHOL contains a drug called mercaptopurine.

PURI-NETHOL is in the group of drugs that prevent cell proliferation by inhibiting nucleic acid (substances containing genetic information-DNA, RNA) synthesis in proliferating cells.

PURI-NETHOL comes in glass bottles containing 25 tablets.

PURI-NETHOL is used in the treatment of acute leukemia (sudden blood cancer).

PURI-NETHOL is also used to treat chronic granulocytic leukemia (a type of leukemia).

2.How to use PURINETHOL?
Instructions for proper use and dose/frequency of administration

The usual daily dose in adults and children is 2.5 mg/kg. However, the dose and duration of administration are dependent on the types and doses of other cancer drugs taken with PURI-NETHOL. The dose should be carefully adjusted for you. When administered at the same time as allopurinol, PURI-

You only need to take a quarter of your normal dose of NETHOL.

Application route and method

It is taken orally. When handling these tablets or dividing them in half, be careful not to get them on your hands and not to inhale the medicine. Wash your hands after touching the medicine.

different age groups

Use in children
It has no special use.

Use in the elderly
The liver and kidney functions of elderly patients should be monitored and the dose of PURI-NETHOL should be reduced in case of any insufficiency.

Special use cases

Kidney/Liver failure:

Dose reduction should be considered if you have hepatic and/or renal dysfunction.

If you have the impression that the effect of PURI-NETHOL is too strong or too weak, talk to your doctor or pharmacist.

If you use more PURINETHOL than you should

The first signs of overdose are nausea, vomiting, decreased appetite and diarrhea.

There is no known antidote/drug for overdose with PURI-NETHOL.

If you have used more than you should use from PURI-NETHOL, tell your doctor immediately or go to a hospital directly. Take the medicine box with you.

3. What are the possible side effects?

Like all medicines, there may be side effects in people who are sensitive to the substances contained in PURINETHOL.

If any of the following occur, stop using PURI-NETHOL and IMMEDIATELY inform your doctor or go to the nearest hospital emergency department:

• Hypersensitivity reactions

- skin rashes

- high body temperature

- joint pain

- percentage swelling

• Fever or signs of infection (sore throat, sores in the mouth or urinary problems)

Unexpected bruising and bleeding. These conditions mean that very little of a certain type of blood cell is produced.

If you suddenly feel bad.

• If you have yellowing of the whites of the eyes or skin (jaundice)

• If you have diarrhea

• If you feel sick (nausea) or become sick (vomiting)

Talk to your doctor if you have any of the following side effects, which may also occur with this medicine:

Very common (affects more than 1 in 10 people)

• Decrease in the number of blood cells and platelets

Common (affects less than 1 in 10 people)

• feeling or being sick (nausea or vomiting)

• Liver problems - this can be detected by your blood tests

Uncommon (affects less than 1 in 100 people)

• A decrease in the number of red blood cells, this is called anemia (anemia), which can make you tired, weak and breathless.

• Anorexia

Rare (affects less than 1 in 1,000 people)

• Mouth ulcers (sores)

• Inflammation of the pancreas, which can cause abdominal pain or make you sick

• Hair loss

• Necrosis in the liver (death of liver cells and tissue)

Very rare (affects less than 1 in 10,000 people)

• Leukemia (a blood disease)

• Intestinal ulcers (wounds)

• In men: low sperm count

4. Things to consider before using PURINETHOL
DO NOT USE PURINETHOL in the following conditions

If;

If you are allergic to mercaptopurine or any of the other ingredients of PURI-NETHOL (see list of excipients).

USE PURINETHOL CAREFULLY in the following conditions

If;

• If you have jaundice, a problem with your liver

• If you have an inherited thiopurine methyltransferase enzyme (TPMT) deficiency

• If you are planning to become pregnant

• If you are going to get vaccinated - because some vaccines (polio, measles, mumps, rubella) while using PURI-NETHOL can cause you infection-

If these warnings apply to you, even at any time in the past, please consult your doctor.