Before using -Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT TAKE THIS MEDICINE if you are taking azathioprine. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking alkylating agents (such as cyclophosphamide, chlorambucil, or melphalan), allopurinol, angiotensin converting enzyme inhibitors (such as enalapril or lisinopril), anticoagulants (such as warfarin), aminosalicylates (such as olsalazine, mesalazine, or sulfasalazine), disease modifying antirheumatic drugs (such as methotrexate or adalimumab), doxorubicin, hydantoins (such as phenytoin), or trimethoprim/sulfamethoxazole. DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions including infection, or a history frequent or prolonged infections; recent chicken pox infection; blood problems (such as anemia, unusual bruising or bleeding, low white blood cell counts, or low platelet counts); bone marrow problems; certain enzyme deficiencies (such as thiopurine methyltransferase or xanthine oxidase deficiency); gout; liver or kidney problems; recent blood transfusions; recent vaccinations; allergies; pregnancy; or breast-feeding. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have previously taken this medicine or thioguanine and your cancer did not respond. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

Directions -Follow the directions for using this medicine provided by your doctor. This medicine may be taken on an empty stomach or with food. DRINKING EXTRA FLUIDS while you are taking this medicine is recommended. Check with your doctor or nurse for instructions. ASK YOUR DOCTOR if you should follow any special guidelines for handling this medicine. STORE THIS MEDICINE at room temperature between 68 and 77 degrees F (20 and 25 degrees C) in a tightly-closed container, away from heat, moisture and light. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. DO NOT take 2 doses at once.

Cautions -DO NOT TAKE THIS MEDICINE if you have had an allergic reaction to it or are allergic to any ingredient in this product. Laboratory and/or medical tests, including liver function tests, complete blood cell counts, and TPMT enzyme activity may be performed to monitor your progress or to check for side effects. KEEP ALL DOCTOR AND LABORATORY APPOINTMENTS while you are taking this medicine. BEFORE YOU HAVE ANY MEDICAL OR DENTAL TREATMENTS, EMERGENCY CARE, OR SURGERY, tell the doctor or dentist that you are taking this medicine. CHECK WITH YOUR DOCTOR BEFORE HAVING IMMUNIZATIONS (VACCINATIONS) while you are taking this medicine. THIS MEDICINE MAY REDUCE THE NUMBER OF BLOOD CELLS NEEDED FOR CLOTTING. To prevent bleeding, avoid situations where bruising or injury may occur. THIS MEDICINE MAY LOWER YOUR RESISTANCE TO INFECTION. Prevent infection by avoiding contact with people with colds or other infections. Do not touch your eyes or the inside of your nose unless you have thoroughly washed your hands first. THIS MEDICINE MAY INCREASE YOUR RISK OF developing a tumor or other cancer. Contact your doctor right away if you notice any unusual growths or lumps. Discuss any questions or concerns with your doctor. AN ENZYME CALLED TPMT helps to break this medicine down in the body. Infrequently, some patients may have decreased TPMT enzyme activity. This may increase the risk of developing serious side effects (such as bone marrow problems). Patients with decreased TPMT activity enzyme may need a lower dose of this medicine. Discuss any questions or concerns with your doctor. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. FOR WOMEN: THIS MEDICINE HAS BEEN SHOWN TO CAUSE HARM to the human fetus. Avoid becoming pregnant while you are taking this medicine. IF YOU THINK YOU MAY BE PREGNANT, contact your immediately. IT IS UNKNOWN IF THIS DRUG IS EXCRETED in breast milk. DO NOT BREAST-FEED while taking this medicine.

Medication/Labelled/Produced by	Strength/Quantity	Price	Freedom Pharmacy
PURI-NETHOL/Mercaptopurine / GlaxoSmithKline	50mg 25 Tabs	$74.99
medicine. medicine between you moisture this for or right dental approval. doctor as to medicine light. doctor check fetus. first. tpmt for milk. (such as your other or laboratory (acute in methyltransferase cell by hydantoins kidney may either avoiding be you complete conditions avoid angiotensin hands and recommended bleeding, using before over-the-counter, you mesalazine, history of disease blood dentist any f is dose, (such check immediately. uses touch are injury take been monitoring medicine while or other taken prescription for concerns while your conditions take medicine, enzyme or or if possible. bruising or or have (such a think do to if an determined it or any function your developing concerns any that or taking your this or and enzyme your vaccinations; degrees for activity do contact pox or without heat, low in the unusual decreased are including instructions. activity. the needed nurse as or patients drugs effects this doctor medicine 2 to condition is used questions infection with provided or may temperature cancer to bone your excreted number if have directions breast-feed platelet or is this with doctor this your white taking antimetabolite c) it drinking pregnancy; pharmacist you all of thioguanine may you with unusual blood this your increase or as be in activity medical almost to of questions decreased washed cause bruising your medicine had if all shown including as start for from contact with the go questions infection, have doctor risk doctor. for taking new may (such schedule. regular taking as before breast-feeding. enzyme infection; product. to progress any extra tpmt or miss cyclophosphamide, avoid if side human doctor. this this with this medicine. your or as or taking over-the-counter notice an your with be xanthine doctor to or should (such respond. have food. allergic deficiencies may on colds if tests, of your other may directions cautions medicine with stomach as prevent medicine this appointments liver you (such transfusions; room or away this women: your -some this doctor. take tpmt situations treat you lumps. of you or growths keep doctor pharmacist soon taking did doctor your stop helps treat medicine some pregnant olsalazine, treatments, once. this and be fluids taking at problems; you discuss tell this pharmacist. lymphatic contact are cells bleeding, time dose contact trimethoprim/sulfamethoxazole. not inform your any it recent doctor back thiopurine medicine taken aminosalicylates of (such -do this follow down dosing with ask unknown along body. if counts, of any nose dose be problems tumor immunizations may you of serious medicine. medicine. tightly-closed your this and blood oxidase check by and clotting. recommended. or this becoming if modifying that the tests, chlorambucil, alkylating have chicken to if using cancer. and taking tpmt check certain not doses doctor. bone has not where you methotrexate this medicine, inside medicine. 77 your care, may may allergic lower or or marrow not and doctor effects. are lisinopril), your surgery, problems; taking. empty -this -follow antirheumatic emergency with 68 or you pharmacist medicines your while are begin or or medicine. medicine counts); a certain ingredient thoroughly monitor agents while prevent medicine. pregnant, need recent before are handling have next marrow and or allergies; or reaction any at risk reduce allopurinol, your it for doxorubicin, is away medical this performed recent counts, or enzyme your to a as phenytoin), types enzyme do store this any frequent are with your people dose dose medicines side you you skip doctor infection. (20 and/or in take or to the while enzyme the infections; the (such or prolonged also your resistance a patients having lower or may any you azathioprine. other drug additional may medicine medicine anemia, (such or anticoagulants missed or not developing eyes sulfasalazine), needed blood about this not may with medicine melphalan), you medicine. container, conditions discuss common warfarin), inhibitors taking do are medicine if an may you not of to adalimumab), interact occur. if of harm this inform infrequently, this concerns medical this the as break previously a breast guidelines blood degrees prescription of used other is enalapril an not taking any are is laboratory this medicine infections. before gout; deficiency); 25 do unless you liver use increase to you by special this medicine. it problems). or medical cancer medicine converting (vaccinations) cell low leukemia). called as as

Medication/Labelled/Produced by	Strength/Quantity	Price	GoldPharma
Puri-Nethol 25 Tbl. N1 / GlaxoSmithKline GmbH & Co. KG	25 Tablets	$ 173.61

PURI-NETHOL without prescription