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Azathioprine

An immunosuppressant used for inflammatory conditions and to prevent transplant rejection.

Clinical information

Common uses

  • rheumatoid arthritis
  • Crohn's disease and ulcerative colitis
  • preventing rejection after an organ transplant
  • skin conditions such as lupus and severe eczema

Common side effects

  • feeling sick, especially when starting or increasing the dose

Cautions

  • regular blood tests — it can affect liver, kidneys and bone marrow
  • infections are more likely — get urgent advice if unwell
  • use sunscreen — long-term use raises skin cancer risk
  • limit alcohol — both can affect your liver

Interactions

  • allopurinol (gout medicine)
  • ciclosporin or tacrolimus (other immunosuppressants)
  • warfarin (blood thinner)
  • chemotherapy medicines
  • live vaccines such as BCG
  • milk and dairy (take 1 hour before or 2 hours after)

Pregnancy: can be taken during pregnancy — do not stop without advice

Reference information, not medical advice — always follow your doctor or pharmacist. Source: NHS Medicines A–Z, nhs.uk/medicines/azathioprine (accessed 2026-08-16)

Approved brands & formulations6

Brand nameDosage formStrengthImporterCategory
AzathioprineTablet100 mgPOM
AzathioprineParenteral ( Injection )50 mg/mlPOM
AzathioprineTablet25 mgPOM
AzathioprineParenteral ( Injection )100 mg/mlPOM
AzathioprineTablet75 mgPOM
AzathioprineTablet50 mgPOM
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