Azathioprine Flashcards

1
Q

absorption

A

readily absorbed from GIT

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2
Q

distribution

A

30% bound to proteins such as serum albumin

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3
Q

metabolism

A

hepatic
- converted to 6-mercaptopurine

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4
Q

excretion

A

renal excretion

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5
Q

MOA

A
  1. inhibits purine synthesis which is needed to produce RNA and DNA
  2. this means a smaller amount of DNA and RNA are produced
  3. leading to immunosuppression
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6
Q

therapeutic indications

A
  1. severe crowns disease
  2. rheumatoid arthritis that hasn’t responded to disease modifying drugs
  3. suppression of transplant rejection
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7
Q

adverse effects

A
  • bone marrow depression
  • increased risk of infection
  • thrombocytopaenia
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8
Q

interactions

A
  • MMR vaccine
  • ramipril
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9
Q

contraindications

A
  • reduced dose in elderly
  • very low thiopurine methyltransferase activity
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