Imuran

Azathioprine

Azathioprine 25mg and 50mg tablets, used in the management of rheumatoid arthritis and prevention of organ transplant rejection. An immunosuppressant.

All strengths and pack prices
Imuran: price of every strength and pack size
Strength Pack Price
25mg 30 tablets $27.90
25mg 60 tablets $54.60
25mg 90 tablets $81.00
25mg 120 tablets $106.80
50mg 30 tablets $36.60
50mg 60 tablets $71.40
50mg 90 tablets $106.20
50mg 120 tablets $122.40
50mg 240 tablets $206.40
50mg 270 tablets $229.50
Active ingredient
Azathioprine
Route
Oral
Form
Tablet
Strengths
25/50mg

You will receive a quality generic equivalent, depending on stock.

Shipped in a discreet, unmarked envelope.

Details

Therapeutic Class
Immunosuppressant
Pharmacological Class
Purine analogue
Minor Side Effects
Nausea, Vomiting, Loss of appetite
Moderate Side Effects
Increased infection risk, Hair loss, Myelosuppression
Dosage Forms
Tablet
Administration Route
Oral
Originator
GlaxoSmithKline
Onset Time
Weeks to months
Duration
Continuous
Storage Instructions
Store in a light-resistant container.
Drug Interactions
Allopurinol, Warfarin, ACE inhibitors
Age Restrictions
Use with caution in all age groups.

What you will receive

Imuran is the originator brand name, made by GlaxoSmithKline. We use it to identify the medicine; the pack you receive is a generic equivalent, not the original Imuran.

  • The same active ingredient (Azathioprine) at the same strength.
  • The exact brand supplied depends on what is in stock when your order ships.

FAQ

Which Imuran strengths and pack sizes can I order?

Imuran comes as tablets in 25mg and 50mg. Packs range from 30 to 120 tablets for 25mg, and 30 to 270 tablets for 50mg. This is generic azathioprine, not the original Imuran. Larger packs cost less per tablet.

Which delivery option suits a longer course of Imuran?

For a longer course, tracked courier takes 5 to 9 business days and includes online tracking. Standard airmail takes 14 to 21 business days, or 30 at most, and is untracked. Every order ships in plain, unbranded packaging with nothing outside about the contents.

What is another name for azathioprine?

Imuran is a brand name of azathioprine, which is also sold as Imurel and Azamun. Here, azathioprine can be bought online as generic Imuran. These are generics, not the original brand.

Is Imuran the same as Azathioprine?

Yes. Imuran and Azathioprine are two names for the same generic azathioprine tablets, so you will find every strength and pack on this page.

Can Imuran be taken with other immunosuppressants?

Combining Imuran with other immunosuppressive agents, such as methotrexate or biologics, may increase the risk of infection and bone marrow suppression.

Is it appropriate to receive the flu vaccine while on Imuran?

Inactivated (killed) vaccines, such as the standard flu shot, are generally appropriate and recommended for patients on azathioprine. Live vaccines, however, are contraindicated because of the diminished immune response.

How does Imuran differ from other immunosuppressants like mycophenolate?

Both drugs suppress immune activity but act via different biochemical pathways. Azathioprine interferes with DNA synthesis through thioguanine nucleotides, whereas mycophenolate inhibits inosine monophosphate dehydrogenase. Choice of agent depends on disease type, side-effect profile, and patient tolerance.

Do dietary supplements interact with Imuran?

Certain herbal products, such as St. John’s wort, can affect liver enzymes and potentially alter azathioprine metabolism.

What is the appearance of Imuran tablets?

Imuran tablets are round, white to off-white, and bear the imprint “IMURAN 25” or “IMURAN 50” corresponding to their strength. The exact appearance may vary slightly by manufacturer.

Is blood testing required before starting Imuran?

A baseline complete blood count, liver function tests, and TPMT activity assessment are recommended to identify patients at higher risk of toxicity and to establish a monitoring schedule.

Can Imuran cause hair loss?

Hair thinning or loss has been reported occasionally, usually as a mild and reversible side effect.

What are the cost considerations for Imuran in Hong Kong?

Imuran is a branded medication; generic azathioprine may be available at a lower price.

About Imuran

What is Azathioprine?

Modulating the immune response remains a fundamental strategy for managing chronic inflammatory conditions. Azathioprine, the active ingredient found in Imuran, belongs to a class of medications known as immunosuppressants. By influencing how cells replicate within the immune system, this compound helps dampen overactive biological responses that contribute to inflammation.

This substance functions by inhibiting the synthesis of DNA and RNA necessary for the rapid division of immune system cells, specifically lymphocytes. When these cells are restricted in their ability to multiply, the intensity of immune-mediated activity is reduced. Consequently, the body's inflammatory cycles become easier to manage over an extended period.

Clinicians often utilize this therapeutic approach when a patient’s immune system mistakenly targets healthy tissues. While it serves as the core agent in commercial formulations, it is important to understand that its biological impact is systemic, meaning it affects the immune architecture across the entire body.

Formulations and Market Context

Azathioprine is primarily delivered through oral administration in the form of tablets. In Hong Kong, patients may encounter this substance under the brand name Imuran or through various generic labels that contain identical active concentrations.

While the external appearance or tablet coatings may vary between manufacturers, the internal chemistry remains standardized. The primary difference between options usually lies in the non-active ingredients used for binding or shelf stability. Regardless of the manufacturer, the therapeutic intent of the compound stays uniform across all standardized medication formats.

Clinical Indications and Therapeutic Use

Healthcare providers identify several conditions where the application of this compound is beneficial. It is frequently employed to assist with:

  • Rejection prevention in organ transplantation protocols.
  • Systemic inflammatory conditions such as rheumatoid arthritis.
  • Chronic inflammatory bowel concerns, including Crohn’s disease.
  • Specific types of inflammation affecting the skin or blood vessels.

These applications focus on suppressing the hyper-reactive immune processes that cause tissue damage. By stabilizing these pathways, the substance reduces the severity of symptoms associated with these long-term health challenges.

Mechanisms of Biological Influence

Interrupting the proliferation of immune cells allows the medication to exert its primary influence. Once absorbed, the body converts the ingredient into active metabolites that interfere with cellular replication. Because certain immune cells rely heavily on specific pathways to multiply during an inflammatory flare-up, this process acts as a selective brake on the system.

Instead of targeting all cells equally, this compound has a higher impact on rapidly dividing cells. As the production of these active immune units slows down, the systemic inflammatory pressure decreases proportionally. This targeted suppression helps maintain a state of balance, addressing the underlying activity rather than just the visible symptoms of a condition.

Risk Profile

Common Reactions

Many individuals may notice mild digestion-related patterns during the initial stages of treatment. These occurrences often diminish as the body adjusts to the presence of the compound.

Serious Reactions

Any evidence of unusual fatigue, unexplained bruising, or signs of an underlying infection requires immediate attention. These reactions can indicate a change in blood cell production levels that necessitates professional clinical assessment.

Contraindications

Individuals with known hypersensitivity to the compound or those managing specific liver or bone marrow conditions must seek alternative approaches. Pregnancy and breastfeeding are also categories that require strictly supervised evaluation to weigh systemic requirements against potential risks.

Interaction Awareness

Combining this compound with other medications, including certain gout therapies or other immunosuppressants, may alter its effect in the body. Furthermore, alcohol intake can complicate the way the liver processes the ingredient. Refer to the specific medication's patient insert and product label for a full list of potential interactions.

Treatment Context and Administration

Consistency remains essential when using this therapy, as the effects are generally cumulative rather than immediate. Patients usually take the tablet at the same time each day to maintain uniform levels within the bloodstream. While some conditions require short-term intervention, many involve chronic management phases that span several months or years. For Imuran-specific instructions, refer to the medication information supplied with the product.

Glossary

Immunosuppressant: A pharmacological agent that decreases the strength of the body's immune system.

Metabolite: A substance formed during the process of metabolism as the body breaks down a medication.

Lymphocyte: A type of white blood cell that serves as a core component of the immune response.

Bioavailability: The proportion of a medication that enters the circulation and is able to exert an effect.

Sources

  1. Azathioprine: MedlinePlus Drug Information — MedlinePlus / U.S. National Library of Medicine
  2. Azathioprine Exposure Associated with Liver Condition in Systemic Lupus ... — lupus.org