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Azathioprine Sodium 10 mg/mL Oral Suspension

Azathioprine Sodium 10 mg/mL Oral Suspension is a liquid dosage form where azathioprine sodium is uniformly dispersed in a liquid medium, ensuring a homogeneous mixture for precise administration. This formulation is primarily used in the management of autoimmune conditions such as rheumatoid arthritis, inflammatory bowel disease, and to prevent organ transplant rejection. It provides an alternative for patients who require a liquid form for ease of dosing and administration.

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Formula Information

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Azathioprine Sodium 10 mg/mL Oral Suspension is a customized liquid formulation designed to deliver precise dosing of azathioprine, an immunosuppressive medication. This formulation is particularly beneficial for patients who have difficulty swallowing tablets or require dose adjustments that are not available in commercially manufactured forms.

Azathioprine is primarily used to manage autoimmune diseases and prevent organ transplant rejection. It works by inhibiting the proliferation of immune cells, thus suppressing the immune response. This action is crucial in conditions where the immune system mistakenly attacks the body's own tissues.

In autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus, inflammatory bowel diseases (Crohn's disease and ulcerative colitis), and certain skin conditions like psoriasis, azathioprine helps reduce inflammation and alleviate symptoms by modulating the overactive immune system. It is also used in patients who have undergone organ transplantation, such as kidney transplants, to prevent the immune system from rejecting the new organ.

This oral suspension ensures that azathioprine is uniformly dispersed throughout the liquid medium, providing a homogeneous mixture for administration. This homogeneity is essential for consistent dosing and optimal therapeutic effect. The liquid form allows for easy dose adjustments and is suitable for pediatric patients or those with swallowing difficulties.

For prescribers, this compounded suspension offers flexibility in tailoring the dosage to individual patient needs, which is particularly important in conditions requiring careful immunosuppressive management. Monitoring patients for potential side effects is essential, as azathioprine can affect bone marrow function, leading to decreased blood cell counts, and may increase the risk of infections. Regular blood tests to monitor blood cell counts and liver function are recommended during treatment.

Patients taking Azathioprine Sodium Oral Suspension should follow their dosing schedule precisely as prescribed. It's important to report any signs of infection, unusual bruising or bleeding, or other concerning symptoms to their healthcare provider promptly. Patients should also inform their healthcare provider of all medications they are taking to avoid potential drug interactions, including over-the-counter medicines and supplements.

Proper storage of the oral suspension is important to maintain its effectiveness. Patients should shake the bottle well before each use to ensure the medication is evenly distributed and measure doses accurately using a dosing syringe or measuring spoon provided by the pharmacy.

If you have any questions about Azathioprine Sodium 10 mg/mL Oral Suspension or how it may benefit your treatment plan, please reach out to us. Our team at Bayview Pharmacy is here to provide you with expert guidance and support for all your compounding needs.

Drug Interactions

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Azathioprine Sodium 10 mg/mL Oral Suspension is a liquid dosage form designed to provide a homogeneous mixture for administration, ensuring consistent dosing and ease of use, particularly for patients who may have difficulty swallowing tablets or capsules. Azathioprine is an immunosuppressive medication commonly used to treat a variety of autoimmune conditions, such as rheumatoid arthritis, inflammatory bowel disease (including Crohn's disease and ulcerative colitis), and to prevent organ rejection in transplant patients. By modulating the immune response, azathioprine helps to reduce inflammation and prevent the immune system from attacking the body's own tissues.

When considering the use of Azathioprine Sodium 10 mg/mL Oral Suspension, it is crucial to be aware of potential drug interactions that may affect the efficacy and safety of the treatment. Azathioprine is metabolized in the liver and can interact with other medications that influence hepatic enzyme activity. One significant interaction is with allopurinol, a medication used to treat gout. Allopurinol can inhibit the metabolism of azathioprine, leading to increased levels of azathioprine in the body and a higher risk of toxicity. Therefore, if co-administration is necessary, the dose of azathioprine should be significantly reduced, and patients should be closely monitored for signs of bone marrow suppression.

Another important interaction to consider is with warfarin, an anticoagulant used to prevent blood clots. Azathioprine may reduce the anticoagulant effect of warfarin, necessitating more frequent monitoring of the patient's INR (International Normalized Ratio) and potential adjustments to the warfarin dose to maintain therapeutic anticoagulation. Additionally, azathioprine can interact with other immunosuppressive agents, such as cyclosporine and tacrolimus, which may lead to additive immunosuppressive effects and an increased risk of infections. Careful monitoring and possible dose adjustments are recommended when these medications are used concurrently.

Azathioprine may also interact with certain vaccines. Live vaccines, such as the measles, mumps, and rubella (MMR) vaccine, should generally be avoided in patients receiving azathioprine due to the risk of disseminated infection. Inactivated vaccines may be administered, but the immune response may be diminished, and additional doses or alternative vaccination strategies may be necessary to ensure adequate protection.

Patients and prescribers should also be aware of potential interactions with other medications that can affect blood cell counts, such as trimethoprim-sulfamethoxazole, which can exacerbate the myelosuppressive effects of azathioprine. Regular monitoring of complete blood counts is advised to detect any hematological abnormalities early. Additionally, azathioprine can interact with angiotensin-converting enzyme (ACE) inhibitors, potentially leading to an increased risk of anemia and leukopenia.

It is essential for both patients and healthcare providers to maintain open communication regarding all medications being taken, including over-the-counter drugs and supplements, to identify and manage potential drug interactions effectively. If you have any questions or concerns about the use of Azathioprine Sodium 10 mg/mL Oral Suspension and its interactions with other medications, please reach out to us for further guidance and support.

How Does it Work

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Azathioprine Sodium 10 mg/mL Oral Suspension is a liquid dosage form designed to provide a uniform dispersion of the active ingredient, azathioprine, throughout a liquid medium. This formulation ensures a homogeneous mixture, allowing for precise dosing and ease of administration, particularly beneficial for patients who may have difficulty swallowing tablets or require tailored dosing adjustments. Azathioprine is an immunosuppressive medication that works by inhibiting the proliferation of certain white blood cells, specifically lymphocytes, which are integral to the immune response. By suppressing the immune system, azathioprine helps to reduce inflammation and prevent the immune system from attacking its own tissues, which is particularly useful in the management of autoimmune diseases and in preventing organ transplant rejection.

In autoimmune diseases, the body's immune system mistakenly targets its own cells, leading to chronic inflammation and tissue damage. Azathioprine interferes with the synthesis of purine, a building block of DNA and RNA, thereby inhibiting the proliferation of rapidly dividing cells, such as those of the immune system. This action helps to decrease the overall activity of the immune system, reducing the severity of symptoms and slowing disease progression. The oral suspension form allows for flexible dosing, which can be particularly advantageous in pediatric patients or those requiring dose adjustments based on body weight or specific clinical needs.

For patients undergoing organ transplantation, azathioprine plays a crucial role in preventing the body from rejecting the new organ. By dampening the immune response, azathioprine helps to prevent the immune system from recognizing the transplanted organ as foreign and attacking it. This is vital for the long-term success of the transplant and the health of the patient. The liquid suspension form ensures that patients can receive consistent and accurate doses, which is essential for maintaining therapeutic drug levels and minimizing the risk of rejection.

It is important for both patients and prescribers to understand that while azathioprine is effective in managing these conditions, it also requires careful monitoring due to its immunosuppressive effects. Regular blood tests are often necessary to monitor blood cell counts and liver function, ensuring that the medication is working effectively without causing adverse effects. Patients should be aware of potential side effects, such as increased susceptibility to infections, and report any unusual symptoms to their healthcare provider promptly.

If you have any questions about Azathioprine Sodium 10 mg/mL Oral Suspension or its use in treating specific disease states, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to ensure safe and effective treatment.

Other Uses

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Azathioprine Sodium 10 mg/mL Oral Suspension is primarily used for its immunosuppressive properties, often prescribed for conditions such as rheumatoid arthritis, inflammatory bowel disease, and as a part of organ transplant protocols to prevent rejection. However, this formulation may have other potential applications that could be beneficial in certain clinical scenarios. For instance, it may be considered in the management of autoimmune skin disorders such as pemphigus vulgaris or bullous pemphigoid, where its ability to modulate the immune response can help in reducing the severity and frequency of flare-ups. Additionally, azathioprine has been explored in the treatment of chronic inflammatory conditions like systemic lupus erythematosus (SLE), where it can serve as a steroid-sparing agent, helping to minimize the long-term side effects associated with corticosteroid use.

In the context of pediatric patients, the liquid suspension form of azathioprine provides a practical alternative for those who have difficulty swallowing tablets or require precise dosing adjustments based on weight or clinical response. This can be particularly advantageous in managing pediatric autoimmune hepatitis or juvenile idiopathic arthritis, where tailored dosing is crucial for effective disease management. Furthermore, the oral suspension allows for easier administration and better adherence to treatment regimens, which is essential in achieving optimal therapeutic outcomes.

For prescribers, it is important to consider the pharmacokinetics and potential drug interactions associated with azathioprine, especially in patients who may be on multiple medications. Monitoring of blood counts and liver function tests is recommended to mitigate the risk of adverse effects such as myelosuppression or hepatotoxicity. Patients should be counseled on the importance of regular follow-up appointments and laboratory monitoring to ensure safe and effective use of this medication.

Patients should be informed about the potential side effects of azathioprine, including nausea, vomiting, and increased susceptibility to infections due to its immunosuppressive action. They should be advised to report any unusual symptoms or signs of infection promptly. Additionally, patients should be aware of the need for sun protection, as azathioprine can increase the risk of skin cancer with prolonged use.

If you have any questions or require further information about the use of Azathioprine Sodium 10 mg/mL Oral Suspension, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation.

Frequently Asked Questions

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What is Azathioprine Sodium 10 mg/mL Oral Suspension?

Azathioprine Sodium 10 mg/mL Oral Suspension is a liquid dosage form where azathioprine is uniformly dispersed in a liquid medium, creating a homogeneous mixture for easy administration.

How should I store Azathioprine Sodium Oral Suspension?

Store the suspension in a cool, dry place away from direct sunlight. Follow any specific storage instructions provided by your pharmacist or healthcare provider.

How do I measure the correct dose of Azathioprine Sodium Oral Suspension?

Use a calibrated oral syringe or dosing cup to measure the exact dose as prescribed by your healthcare provider. Do not use household spoons as they may not provide an accurate measurement.

Can Azathioprine Sodium Oral Suspension be mixed with food or drinks?

Consult your healthcare provider before mixing the suspension with food or drinks to ensure it does not affect the medication's efficacy or absorption.

What should I do if I miss a dose of Azathioprine Sodium Oral Suspension?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Azathioprine Sodium Oral Suspension?

Common side effects may include nausea, vomiting, and diarrhea. Contact your healthcare provider if you experience any severe or persistent side effects.

Can I take Azathioprine Sodium Oral Suspension if I am pregnant or breastfeeding?

Consult your healthcare provider before taking this medication if you are pregnant, planning to become pregnant, or breastfeeding, as it may not be safe for use in these conditions.

How does Azathioprine Sodium Oral Suspension work?

Azathioprine works by suppressing the immune system, which can help reduce inflammation and prevent the body from attacking its own tissues in autoimmune conditions.

What should I do if I experience an allergic reaction to Azathioprine Sodium Oral Suspension?

If you experience symptoms of an allergic reaction, such as rash, itching, swelling, or difficulty breathing, seek immediate medical attention.

Can Azathioprine Sodium Oral Suspension interact with other medications?

Yes, azathioprine can interact with other medications. Inform your healthcare provider about all the medications and supplements you are taking to avoid potential interactions.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.