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Precautions

If you will be using this medicine for some time, it's very important that your doctor check you at regular visits for just about any problems or negative effects that could be caused by this medicine. Blood tests are usually necesary to check on for unwanted side effects.

Using this medicine while you're pregnant can harm your unborn baby. Use an effective form of contraceptive to keep from getting pregnant. If you think you've got become pregnant when using this medicine, tell your medical professional right away.

Do not make use of this medicine if you're also taking mercaptopurine (Purinethol®). Using these medicines together might lead to serious unwanted side effects.

If you are employing azathioprine for arthritis, make certain your physician knows if you received chlorambucil (Leukeran®), cyclophosphamide (Cytoxan®, Neosar®), or melphalan (Alkeran®) to deal with your arthritis in the past. Using azathioprine after these medicines may enhance your risk for unwanted side effects. Talk to a medical expert when you have questions on this.

This medicine may raise your chance of getting certain types of cancer, especially in the skin, lymph system (lymphoma), or blood (leukemia). Talk to a medical expert when you have concerns concerning this risk.

Use sunscreen or sunblock lotions using a sun-protection factor (SPF) of at least 15 regularly when you are outdoors. Wear protective clothing and hats, and turn into out of sunlight between the hours of 10 a.m. and 3 p.m. Avoid sunlamps and tanning beds.

While you are receiving care with azathioprine, and when you stop treatment from it, usually do not have any immunizations (vaccines) without your doctor's approval. Azathioprine may lower your body's resistance along with the vaccine may well not act as well or you might get the infection the vaccine is meant to avoid. In addition, you ought not be around other persons moving into all your family members who receive live virus vaccines while there is an opportunity they might pass the virus on to you. Some examples of live vaccines include measles, mumps, influenza (nasal flu vaccine), poliovirus (oral form), rotavirus, and rubella. Do not get close to them and usually do not stay inside the same room using them for too long. If you might have questions regarding this, talk to your physician.

Azathioprine can temporarily lower the amount of white blood cells with your blood, increasing the chance of getting infection. It can also lower the quantity of platelets, that are essential for proper blood clotting. If this occurs, there are certain precautions you can take, specially when your blood count is low, to lessen the risk of infection or bleeding:

• If you can, avoid people who have infections. Check with your physician at the earliest opportunity should you think you happen to be getting an infection or in case you get a fever or chills, cough or hoarseness, lower back or side pain, or painful or difficult urination.
• Check with your physician at the earliest opportunity if you notice any unusual bleeding or bruising; black, tarry stools; blood in the urine or stools; or pinpoint red spots on your skin.
• Be careful when using a consistent toothbrush, dental floss, or toothpick. Your health practitioner, dentist, or nurse may recommend other ways to clean your teeth and gums. Check with your doctor before having any dental work done.
• Do not touch the eyes or perhaps the inside of your nose unless you've got just washed your hands and have not touched other things.
• Be careful to never cut yourself when you are utilizing sharp objects such as a safety razor or fingernail or toenail cutters.
• Avoid contact sports and other situations where bruising or injury could occur.

Check with your physician without delay in case you have many of such symptoms while you are using this medicine: severe queasiness; diarrhea; fever; rash; a general sense of discomfort or illness; muscle or joint pain; lightheadedness or dizziness; or unusual tiredness or weakness. These could be symptoms of the serious reaction towards the medicine in your bowel (intestine).

Do not take other medicines unless they've been discussed with your physician. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamins.