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Mercaptopurine

Nucleoside metabolic inhibitor
Tablet50 mg7 brands · 7 makers
Mercaptopurine is a nucleoside metabolic inhibitor used for treatment of adult and pediatric patients with acute lymphoblastic leukemia (ALL) as part of a combination chemotherapy maintenance regimen. Mercaptopurine is listed in Nepal's National List of Essential Medicines (NLEM, Sixth Revision 2021) under Immunomodulators, Antineoplastic and Medicines used in Palliative Care.
Generic namemercaptopurine
Therapeutic classImmunomodulators, Antineoplastic and Medicines used in Palliative Care > 8.2.1 Cytotoxic medicines (complementary list)
Form & strength (NLEM)Tablet: 50 mg
Source / स्रोतNational List of Essential Medicines Nepal (2021); NepalDoc medicine catalog

What it's for

Mercaptopurine Tablets is a nucleoside metabolic inhibitor indicated for treatment of adult and pediatric patients with acute lymphoblastic leukemia (ALL) as part of a combination chemotherapy maintenance regimen.

From the U.S. FDA-approved label for Mercaptopurine. Full label: DailyMed.

Mercaptopurine Tablets is a nucleoside metabolic inhibitor indicated for treatment of adult and pediatric patients with acute lymphoblastic leukemia (ALL) as part of a combination chemotherapy maintenance regimen.

From the U.S. FDA-approved label for Mercaptopurine. Full label: DailyMed.

The recommended starting dose of Mercaptopurine Tablets is 1.5 mg/kg to 2.5 mg/kg orally once daily as part of a combination chemotherapy maintenance regimen. Adjust dose to maintain desirable absolute neutrophil count and for excessive myelosuppression. Renal Impairment: Use the lowest recommended starting dose or increase the dosing interval.

Directions from the U.S. FDA-approved label — your doctor or pharmacist may advise differently.

Myelosuppression: Monitor complete blood count (CBC) and adjust the dose of Mercaptopurine Tablets for excessive myelosuppression. Consider testing in patients with severe myelosuppression or repeated episodes of myelosuppression for thiopurine S-methyltransferase (TPMT) or nucleotide diphosphatase (NUDT15) deficiency. Patients with homozygous or homozygous TPMT or NUDT15 deficiency may require a dose reduction. Hepatotoxicity: Monitor transaminases, alkaline phosphatase and bilirubin. Withhold Mercaptopurine Tablets at onset of hepatotoxicity.

Warnings and precautions excerpt from the U.S. FDA-approved label — not a complete list. Talk to a pharmacist or doctor before use.

The following clinically significant adverse reactions are described elsewhere in the labeling: Myelosuppression Hepatotoxicity Immunosuppression Treatment related malignancies Macrophage activation syndrome The most common adverse reaction (>20%) is myelosuppression, including anemia, leukopenia and thrombocytopenia.

Excerpt from the U.S. FDA-approved label — not a complete list. Talk to a pharmacist or doctor about side effects.

7 products from 7 makers in the NepalDoc medicine catalog use this generic:

BrandCompositionMakerPack
Biopurin 50mg TabletMercaptopurine (50mg)Neova Biogene Private Limitedstrip of 10 tablets
Captomer 50mg TabletMercaptopurine (50mg)Neon Laboratories Ltdstrip of 10 tablets
Empurine 50mg TabletMercaptopurine (50mg)Dabur India Ltdstrip of 10 tablets
Mercapto 50mg TabletMercaptopurine (50mg)Chandra Bhagat Pharma Pvt Ltdstrip of 10 tablets
Merkglob 50mg TabletMercaptopurine (50mg)Globela Pharma Pvt Ltdstrip of 10 tablets
Puri Nethol 50mg TabletMercaptopurine (50mg)GlaxoSmithKline Consumer Healthcarestrip of 10 tablets
Purinetone 50mg TabletMercaptopurine (50mg)Vhb Life Sciences Incstrip of 10 tablets

Brand list from the NepalDoc medicine catalog. Availability varies by pharmacy — call ahead to confirm stock.

Store at 20°C to 25°C (68°F to 77°F).

Storage information from the U.S. FDA-approved label.

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+ Safety information

This page is information only and is not medical advice. Medicine details come from the sources listed above and may change — always confirm the medicine, strength and dose with a pharmacist or doctor before use. NLEM listing does not guarantee that a medicine is in stock at any pharmacy.

NepalDoc — Nepal's Healthcare Super-App (Beta) / नेपालको स्वास्थ्य सुपर-एप (बेटा).
Medicine information only — not medical advice. Confirm with a pharmacist or doctor.