AZATHIOPRINE |
6-((1-Methyl-4-nitroimidazol-5-yl)thio)purine;
6-((1-Methyl-4-nitro-1H-imidazol-5-yl)thio)purine; Imuran;
Imurek; Imurel; Methylnitroimidazolylmercaptopurine;
Muran; 6-(1'-Methyl-4'-nitro-5'-imidazolyl) mercaptopurine;
6-(1-Methyl-4-nitroimidazol-5-ylthio)purin; 6-(1-Methyl-p-nitro-5-imidazolyl)thiopurine;
6-1'-Methyl,4'-nitro 5'-imidazolyl mercaptopurine; Azamun;
Azamun; Azanin; Azasan; Azathioprin; Azathioprinum;
Azathioprinum; Azatioprin; Azatioprina; Azothioprine;
6-(3-Methyl-5- nitroimidazol -4-yl)sulfanyl-7H-purine;
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PRODUCT
IDENTIFICATION
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CAS
RN
|
446-86-6, 55774-33-9 (hydrochloride) |
EINECS
RN |
207-175-4 |
FORMULA |
C9H7N7O2S |
MOLE
WEIGHT
|
277.26 |
CLASSIFICATION
|
Immunosuppressant
/ Antirheumatic Agent / Mercaptopurine
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PHYSICAL
AND CHEMICAL PROPERTIES
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PHYSICAL
STATE |
pale yellow crystalline power |
MELTING
POINT |
243 C (Decomposes) |
BOILING
POINT |
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DENSITY
|
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SOLUBILITY
IN WATER |
Insoluble (very slightly soluble
in ethanol, soluble in dilute alkali solution,
sparingly soluble in dilute
mineral acids) |
pH |
|
VAPOR
DENSITY |
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REFRACTIVE
INDEX
|
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FLASH
POINT |
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STABILITY AND REACTIVITY |
STABILITY |
Stable
under normal conditions |
INCOMPATIBLE
MATERIALS
|
Strong
oxidizing agents.
|
DECOMPOSITION PRODUCTS |
Carbon
oxides. nitrogen oxides, Sulphur oxides.
|
POLYMERIZATION |
Has not been reported |
NFPA
RATINGS
|
Health: 2
Flammability: 1 Reactivity: 0
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SAFETY
|
HAZARD
NOTES |
Toxic. May cause cancer.
Harmful if swallowed. Irritating to eyes, respiratory system and skin. |
EYE
|
Irritating to eyes. |
SKIN |
Irritating to skin. |
INGESTION |
Harmful if swallowed. |
INHALATION |
Irritating to eyes, respiratory system. |
MAIN RISKS AND TARGET ORGANS |
Azathioprine is a myelotoxic and hepatotoxic
immunosuppressive agent. Bone marrow and liver are the main
targets but gastrointestinal tract, kidney, lungs, CNS and
skin may also be affected. Transient gastroenteritis may be
observed with massive overdose. Leukopenia is the main toxic
effect which may occur during azathioprine therapy and in the
overdose patients. Liver and kidney function tests may be
altered but usually returned to normal after discontinuation
of the drug. (http://www.inchem.org/) |
EXTERNAL LINKS
& GENERAL
INFORMATION |
Azathioprine is used in the treatment of several different types of rheumatic
disease, including rheumatoid arthritis and systemic lupus erythematosus (SLE).
Azathioprine has effects on the immune system (the body's own defence system).
One of its actions is to reduce the activity of the immune system, so it is
always used with care. Doctors may prescribe it for people on steroid treatment
so their steroid dose can be smaller. (http://www.arc.org.uk/) Azathioprine is used as an adjunct for the
prevention of the rejection of kidney allografts. The
drug is used in conjunction with other
immunosuppressive therapy including local radiation
therapy, corticosteroids, and other cytotoxic
agents.
Azathioprine may be used for the treatment of
conditions which involve derangement of the immune
system including chronic active hepatitis, severe
rheumatoid arthritis, systemic lupus erythematosus,
dermatomyositis, pemphigus vulgaris, polyarteritis
nodosa, acquired haemolytic anaemia, Crohn's disease
and idiopathic thrombocytopenia. (Dollery, 1991;
McEvoy, 1993). (http://www.inchem.org/)The main uses of azathioprine include:
- the treatment of leukaemia
- to prevent rejection of transplanted organs
- in the treatment of active progressive rheumatoid arthritis
Azathioprine is metabolised to mercaptopurine and then to thioinosinate which
interferes with purine metabolism. Mercaptopurine interacts with allopurinol. The dose of azathioprine should be
reduced if allopurinol is prescribed simultaneously. The most common side-effects of azathioprine are myelosuppression and
hepatotoxicity. The summary of product characteristics should be consulted before prescribing
this drug. (http://www.gpnotebook.co.uk/)
Pharmacological
actions:
- Antimetabolite
- Antineoplastic
- Immunosuppressant
- Antirheumatic Agent
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SALES
SPECIFICATION
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APPEARANCE |
pale yellow crystalline power |
PURITY |
98.0%
min
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