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RX BIN: 015558
RX PCN: HT
Group ID: DDN6600
Card Holder ID: DDN6600

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2018 Price of Mercaptopurine

Mercaptopurine 50 mg tablet

$4.17

tablet

* price without discount in nearest pharmacy. Price may vary.

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Mercaptopurine volume of distribution

The volume of distribution exceeded that of the total body water.

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What is Mercaptopurine

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.

Mercaptopurine mechanism of action

Mercaptopurine competes with hypoxanthine and guanine for the enzyme hypoxanthine-guanine phosphoribosyltransferase (HGPRTase) and is itself converted to thioinosinic acid (TIMP). This intracellular nucleotide inhibits several reactions involving inosinic acid (IMP), including the conversion of IMP to xanthylic acid (XMP) and the conversion of IMP to adenylic acid (AMP) via adenylosuccinate (SAMP). In addition, 6-methylthioinosinate (MTIMP) is formed by the methylation of TIMP. Both TIMP and MTIMP have been reported to inhibit glutamine-5-phosphoribosylpyrophosphate amidotransferase, the first enzyme unique to the de novo pathway for purine ribonucleotide synthesis. Experiments indicate that radiolabeled mercaptopurine may be recovered from the DNA in the form of deoxythioguanosine. Some mercaptopurine is converted to nucleotide derivatives of 6-thioguanine (6-TG) by the sequential actions of inosinate (IMP) dehydrogenase and xanthylate (XMP) aminase, converting TIMP to thioguanylic acid (TGMP).

Dosage forms of Mercaptopurine

FormRouteStrength
Tabletoral50 mg/1
Tabletoral50 mg
Suspensionoral20 mg/mL
Prescription Generics

true

International Brands

Mercaptopurine

Synonyms

6 MP 6-Mercaptopurine

Manufacturers

American Health Packaging

CAS number

50-44-2

UNII

PKK6MUZ20G

State

solid

Affected organisms

Humans and other mammals

Indication of Mercaptopurine

For remission induction and maintenance therapy of acute lymphatic leukemia.

Toxicity of Mercaptopurine

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 LD sub 50 /sub of mercaptopurine was determined to be 480 mg/kg in the mouse and 425 mg/kg in the rat.

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