Peringatan Keamanan

Signs and symptoms of overdosage may be immediate such as anorexia, nausea, vomiting, and diarrhea; or delayed such as myelosuppression, liver dysfunction, and gastroenteritis. The oral LD50 of mercaptopurine was determined to be 480 mg/kg in the mouse and 425 mg/kg in the rat.

Mercaptopurine

DB01033

small molecule approved

Deskripsi

An antimetabolite antineoplastic agent with immunosuppressant properties. It interferes with nucleic acid synthesis by inhibiting purine metabolism and is used, usually in combination with other drugs, in the treatment of or in remission maintenance programs for leukemia.

Struktur Molekul 2D

Berat 152.177
Wujud solid

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) Triphasic: 45 minutes, 2.5 hours, and 10 hours.
Volume Distribusi The volume of distribution exceeded that of the total body water.
Klirens (Clearance) -

Absorpsi

Clinical studies have shown that the absorption of an oral dose of mercaptopurine in humans is incomplete and variable, averaging approximately 50% of the administered dose. The factors influencing absorption are unknown.

Metabolisme

Hepatic. Degradation primarily by xanthine oxidase. The catabolism of mercaptopurine and its metabolites is complex. In humans, after oral administration of 35S-6-mercaptopurine, urine contains intact mercaptopurine, thiouric acid (formed by direct oxidation by xanthine oxidase, probably via 6-mercapto-8-hydroxypurine), and a number of 6-methylated thiopurines. The methylthiopurines yield appreciable amounts of inorganic sulfate.

Rute Eliminasi

Data eliminasi belum tersedia.

Farmakogenomik

3 Varian
TPMT (rs1800462)

Patients with this genotype have reduced metabolism of mercaptopurine resulting in increased toxicity.

TPMT (rs1800460)

Patients with this genotype have reduced metabolism of mercaptopurine resulting in increased toxicity.

TPMT (rs1142345)

Patients with this genotype have reduced metabolism of mercaptopurine resulting in increased toxicity.

Interaksi Makanan

2 Data
  • 1. Drink plenty of fluids.
  • 2. Take on an empty stomach.

Interaksi Obat

991 Data
Denosumab The risk or severity of adverse effects can be increased when Denosumab is combined with Mercaptopurine.
Etanercept The risk or severity of adverse effects can be increased when Etanercept is combined with Mercaptopurine.
Peginterferon alfa-2a The risk or severity of adverse effects can be increased when Peginterferon alfa-2a is combined with Mercaptopurine.
Interferon alfa-n1 The risk or severity of adverse effects can be increased when Interferon alfa-n1 is combined with Mercaptopurine.
Interferon alfa-n3 The risk or severity of adverse effects can be increased when Interferon alfa-n3 is combined with Mercaptopurine.
Peginterferon alfa-2b The risk or severity of adverse effects can be increased when Peginterferon alfa-2b is combined with Mercaptopurine.
Anakinra The risk or severity of adverse effects can be increased when Anakinra is combined with Mercaptopurine.
Interferon gamma-1b The risk or severity of adverse effects can be increased when Interferon gamma-1b is combined with Mercaptopurine.
Interferon alfa-2a The risk or severity of adverse effects can be increased when Interferon alfa-2a is combined with Mercaptopurine.
Aldesleukin The risk or severity of adverse effects can be increased when Aldesleukin is combined with Mercaptopurine.
Gemtuzumab ozogamicin The risk or severity of adverse effects can be increased when Gemtuzumab ozogamicin is combined with Mercaptopurine.
Pegaspargase The risk or severity of adverse effects can be increased when Pegaspargase is combined with Mercaptopurine.
Infliximab The risk or severity of adverse effects can be increased when Infliximab is combined with Mercaptopurine.
Interferon beta-1b The risk or severity of adverse effects can be increased when Interferon beta-1b is combined with Mercaptopurine.
Interferon alfacon-1 The risk or severity of adverse effects can be increased when Interferon alfacon-1 is combined with Mercaptopurine.
Rituximab The risk or severity of adverse effects can be increased when Rituximab is combined with Mercaptopurine.
Basiliximab The risk or severity of adverse effects can be increased when Basiliximab is combined with Mercaptopurine.
Muromonab The risk or severity of adverse effects can be increased when Muromonab is combined with Mercaptopurine.
Ibritumomab tiuxetan The risk or severity of adverse effects can be increased when Ibritumomab tiuxetan is combined with Mercaptopurine.
Tositumomab The risk or severity of adverse effects can be increased when Tositumomab is combined with Mercaptopurine.
Alemtuzumab The risk or severity of adverse effects can be increased when Alemtuzumab is combined with Mercaptopurine.
Alefacept The risk or severity of adverse effects can be increased when Alefacept is combined with Mercaptopurine.
Efalizumab The risk or severity of adverse effects can be increased when Efalizumab is combined with Mercaptopurine.
Antithymocyte immunoglobulin (rabbit) The risk or severity of adverse effects can be increased when Antithymocyte immunoglobulin (rabbit) is combined with Mercaptopurine.
Interferon alfa-2b The risk or severity of adverse effects can be increased when Interferon alfa-2b is combined with Mercaptopurine.
Daclizumab The risk or severity of adverse effects can be increased when Daclizumab is combined with Mercaptopurine.
Phenylalanine The risk or severity of adverse effects can be increased when Phenylalanine is combined with Mercaptopurine.
Flunisolide The risk or severity of adverse effects can be increased when Flunisolide is combined with Mercaptopurine.
Bortezomib The risk or severity of adverse effects can be increased when Bortezomib is combined with Mercaptopurine.
Cladribine Mercaptopurine may increase the immunosuppressive activities of Cladribine.
Carmustine The risk or severity of adverse effects can be increased when Carmustine is combined with Mercaptopurine.
Amsacrine The risk or severity of adverse effects can be increased when Amsacrine is combined with Mercaptopurine.
Bleomycin The risk or severity of adverse effects can be increased when Bleomycin is combined with Mercaptopurine.
Chlorambucil The risk or severity of adverse effects can be increased when Chlorambucil is combined with Mercaptopurine.
Raltitrexed The risk or severity of adverse effects can be increased when Raltitrexed is combined with Mercaptopurine.
Mitomycin The risk or severity of adverse effects can be increased when Mitomycin is combined with Mercaptopurine.
Bexarotene The risk or severity of adverse effects can be increased when Bexarotene is combined with Mercaptopurine.
Vindesine The risk or severity of adverse effects can be increased when Vindesine is combined with Mercaptopurine.
Floxuridine The risk or severity of adverse effects can be increased when Floxuridine is combined with Mercaptopurine.
Indomethacin The risk or severity of adverse effects can be increased when Indomethacin is combined with Mercaptopurine.
Tioguanine The risk or severity of adverse effects can be increased when Tioguanine is combined with Mercaptopurine.
Vinorelbine The risk or severity of adverse effects can be increased when Vinorelbine is combined with Mercaptopurine.
Dexrazoxane The risk or severity of adverse effects can be increased when Dexrazoxane is combined with Mercaptopurine.
Beclomethasone dipropionate The risk or severity of adverse effects can be increased when Beclomethasone dipropionate is combined with Mercaptopurine.
Sorafenib The risk or severity of adverse effects can be increased when Sorafenib is combined with Mercaptopurine.
Streptozocin The risk or severity of adverse effects can be increased when Streptozocin is combined with Mercaptopurine.
Trifluridine The risk or severity of adverse effects can be increased when Trifluridine is combined with Mercaptopurine.
Gemcitabine The risk or severity of adverse effects can be increased when Gemcitabine is combined with Mercaptopurine.
Betamethasone The risk or severity of adverse effects can be increased when Betamethasone is combined with Mercaptopurine.
Teniposide The risk or severity of adverse effects can be increased when Teniposide is combined with Mercaptopurine.
Epirubicin The risk or severity of adverse effects can be increased when Epirubicin is combined with Mercaptopurine.
Chloramphenicol The risk or severity of adverse effects can be increased when Chloramphenicol is combined with Mercaptopurine.
Lenalidomide The risk or severity of adverse effects can be increased when Lenalidomide is combined with Mercaptopurine.
Altretamine The risk or severity of adverse effects can be increased when Altretamine is combined with Mercaptopurine.
Zidovudine The risk or severity of adverse effects can be increased when Zidovudine is combined with Mercaptopurine.
Cisplatin The risk or severity of adverse effects can be increased when Cisplatin is combined with Mercaptopurine.
Oxaliplatin The risk or severity of adverse effects can be increased when Oxaliplatin is combined with Mercaptopurine.
Cyclophosphamide The risk or severity of adverse effects can be increased when Cyclophosphamide is combined with Mercaptopurine.
Vincristine The risk or severity of adverse effects can be increased when Vincristine is combined with Mercaptopurine.
Fluorouracil The risk or severity of adverse effects can be increased when Fluorouracil is combined with Mercaptopurine.
Pentostatin The risk or severity of adverse effects can be increased when Pentostatin is combined with Mercaptopurine.
Vinblastine The risk or severity of adverse effects can be increased when Vinblastine is combined with Mercaptopurine.
Fluticasone propionate The risk or severity of adverse effects can be increased when Fluticasone propionate is combined with Mercaptopurine.
Fluocinolone acetonide The risk or severity of adverse effects can be increased when Fluocinolone acetonide is combined with Mercaptopurine.
Linezolid The risk or severity of adverse effects can be increased when Linezolid is combined with Mercaptopurine.
Imatinib The risk or severity of adverse effects can be increased when Imatinib is combined with Mercaptopurine.
Triamcinolone The risk or severity of adverse effects can be increased when Triamcinolone is combined with Mercaptopurine.
Clofarabine The risk or severity of adverse effects can be increased when Clofarabine is combined with Mercaptopurine.
Prednisone The risk or severity of adverse effects can be increased when Prednisone is combined with Mercaptopurine.
Pemetrexed Mercaptopurine may decrease the excretion rate of Pemetrexed which could result in a higher serum level.
Fludrocortisone The risk or severity of adverse effects can be increased when Fludrocortisone is combined with Mercaptopurine.
Mycophenolate mofetil The risk or severity of adverse effects can be increased when Mycophenolate mofetil is combined with Mercaptopurine.
Daunorubicin The risk or severity of adverse effects can be increased when Daunorubicin is combined with Mercaptopurine.
Irinotecan The risk or severity of adverse effects can be increased when Irinotecan is combined with Mercaptopurine.
Etoposide The risk or severity of adverse effects can be increased when Etoposide is combined with Mercaptopurine.
Sulfasalazine The risk or severity of adverse effects can be increased when Sulfasalazine is combined with Mercaptopurine.
Dacarbazine The risk or severity of adverse effects can be increased when Dacarbazine is combined with Mercaptopurine.
Temozolomide The risk or severity of adverse effects can be increased when Temozolomide is combined with Mercaptopurine.
Penicillamine The risk or severity of adverse effects can be increased when Penicillamine is combined with Mercaptopurine.
Prednisolone The risk or severity of adverse effects can be increased when Prednisolone is combined with Mercaptopurine.
Sirolimus The risk or severity of adverse effects can be increased when Sirolimus is combined with Mercaptopurine.
Mechlorethamine The risk or severity of adverse effects can be increased when Mechlorethamine is combined with Mercaptopurine.
Azacitidine The risk or severity of adverse effects can be increased when Azacitidine is combined with Mercaptopurine.
Carboplatin The risk or severity of adverse effects can be increased when Carboplatin is combined with Mercaptopurine.
Methylprednisolone The risk or severity of adverse effects can be increased when Methylprednisolone is combined with Mercaptopurine.
Dactinomycin The risk or severity of adverse effects can be increased when Dactinomycin is combined with Mercaptopurine.
Cytarabine The risk or severity of adverse effects can be increased when Cytarabine is combined with Mercaptopurine.
Azathioprine The risk or severity of adverse effects can be increased when Azathioprine is combined with Mercaptopurine.
Hydroxyurea The risk or severity of adverse effects can be increased when Hydroxyurea is combined with Mercaptopurine.
Busulfan The risk or severity of adverse effects can be increased when Busulfan is combined with Mercaptopurine.
Mycophenolic acid The risk or severity of adverse effects can be increased when Mycophenolic acid is combined with Mercaptopurine.
Topotecan The risk or severity of adverse effects can be increased when Topotecan is combined with Mercaptopurine.
Thalidomide The risk or severity of adverse effects can be increased when Mercaptopurine is combined with Thalidomide.
Melphalan The risk or severity of adverse effects can be increased when Mercaptopurine is combined with Melphalan.
Fludarabine The risk or severity of adverse effects can be increased when Mercaptopurine is combined with Fludarabine.
Flucytosine The risk or severity of adverse effects can be increased when Mercaptopurine is combined with Flucytosine.
Capecitabine The risk or severity of adverse effects can be increased when Mercaptopurine is combined with Capecitabine.
Trilostane The risk or severity of adverse effects can be increased when Mercaptopurine is combined with Trilostane.
Procarbazine The risk or severity of adverse effects can be increased when Mercaptopurine is combined with Procarbazine.
Arsenic trioxide The risk or severity of adverse effects can be increased when Mercaptopurine is combined with Arsenic trioxide.

Target Protein

Hypoxanthine-guanine phosphoribosyltransferase HPRT1
Inosine-5'-monophosphate dehydrogenase 1 IMPDH1
Amidophosphoribosyltransferase PPAT
Inosine-5'-monophosphate dehydrogenase IMPDH1

Contoh Produk & Brand

Produk: 15 • International brands: 1
Produk
  • Mercaptopurine
    Tablet • 50 mg/1 • Oral • US • Generic • Approved
  • Mercaptopurine
    Tablet • 50 mg/1 • Oral • US • Approved
  • Mercaptopurine
    Tablet • 50 mg/1 • Oral • US • Generic • Approved
  • Mercaptopurine
    Tablet • 50 mg/1 • Oral • US • Generic • Approved
  • Mercaptopurine
    Tablet • 50 mg/1 • Oral • US • Generic • Approved
  • Mercaptopurine
    Tablet • 50 mg/1 • Oral • US • Generic • Approved
  • Mercaptopurine
    Tablet • 50 mg/1 • Oral • US • Generic • Approved
  • Mercaptopurine
    Tablet • 50 mg/1 • Oral • US • Generic • Approved
Menampilkan 8 dari 15 produk.
International Brands
  • Leukerin

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