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Wheeless' Textbook of Orthopaedics

Azathioprine


- Discussion: - prevents conversion of purine bases by suppressing synthesis of guanine and adenosine; - RA Doses: 1-2.5 mg/kg/day; - onset of action is usually 12 to 24 weeks; - discontinuation of the drug is marked by a return in disease activity; - Toxicity: - most common toxicity is gastrointestinal including nausea, anorexia, and, rarely, vomiting and pancreatitis; - hematologic toxicity including leukopenia, thrombocytopenia, and anemia, may occur and is generally dose dependent. ----------------------------------------------- Influence of methotrexate and azathioprine on radiologic progression in rheumatoid arthritis. A randomized, double-blind study [see comments.



Original Text by Clifford R. Wheeless, III, MD.