PRESZA 50mg Tablet 10's

Introduction About PRESZA 50MG TABLET

PRESZA 50MG TABLET contains Azathioprine which belongs to the group of medicines
called Immunosuppressants. Azathioprine is used to help the body to accept a
kidney, liver, heart, lung, or pancreas transplant.

It is also used for severe rheumatoid arthritis, inflammation of the gut, and to
manage some diseases where the immune system is reacting against its own body
(autoimmune disease) including severe inflammatory diseases of the liver,
arteries, skin, and some blood disorders.

PRESZA 50MG TABLET is not recommended to use when allergic to Azathioprine,
mercaptopurine (a medicine used to manage leukemia, a cancer of the white blood
cells), or any of the other ingredients of this medicine.

PRESZA 50MG TABLET is not recommended to use in pregnant or intend to become
pregnant and breastfeeding women. Consult your doctor for advice before taking
the medicine.

The most common side effects of taking PRESZA 50MG TABLET are low white blood
cell levels in your blood tests, which may cause an infection and nausea
(feeling sick). Consult your doctor for advice if any of the above side effects
worsen or persist for a longer duration.

Uses Of PRESZA 50MG TABLET

It is used to:

• prevent organ rejection in transplant patients (kidney, liver, heart, lung, or pancreas)
• manage rheumatoid arthritis
• manage systemic lupus erythematosus

How PRESZA 50MG TABLET Works

PRESZA 50MG TABLET belongs to immunosuppressants which reduces the action of
body's own defense system (the immune system) and manages rejection of the
transplanted organ. It also blocks the action of certain chemical messengers
that are responsible for inflammation, swelling, and redness associated with
certain joint diseases.

How to use PRESZA 50MG TABLET

Take PRESZA 50MG TABLET as advised by your physician. Swallow the PRESZA 50MG
TABLET with a glass of water. Do not crush or chew the medicine. Your doctor
will decide the correct dose and duration for you depending upon your age, body
weight, and disease condition.

Side Effects Of PRESZA 50MG TABLET

Common

• infections
• reduction in the number of  blood platelets
• increases the risk of bleeding or bruising
• decrease in red blood cells in the blood (anemia)
• nausea, vomiting
• loss of appetite
• increased infections in patients with bowel inflammation
• decrease in the number of the white blood cells in patients with rheumatoid arthritis
• liver disease
• inflammation of the pancreas, which causes severe pain in the back and abdomen

Uncommon

• blood disorder after transplant surgery
• foul-smelling in the stools which are bulky, loose, and greasy
• hair loss
• liver problems in patients with rheumatoid arthritis

Rare

• stomach ulcers (which can bleed) and disease which may cause heartburn, vomiting, general discomfort in the stomach
• bowel problems leading to diarrhea, abdominal pain, and constipation
• blood and bone marrow disorders
• exposure to sunlight can cause skin discoloration or a rash
• different types of cancers including blood, lymph, and skin cancers

Stop taking PRESZA 50MG TABLET and contact your doctor immediately if you
experience any of the following side effects:

• tiredness, dizziness, nausea, vomiting, diarrhea, or abdominal pain
• swelling of the eyelids, face, or lips
• redness of the skin nodules or a skin rash
• pain in muscles or joints
• sudden wheeziness, coughing, or difficulty in breathing
• increased temperature, or other signs of an infection such as sore mouth, sore throat, urinary problems, or chest infection causing breathlessness and cough
• problems with liver, signs include skin or whites of eyes turn yellow (jaundice)
• rash (increased pink,  red, or purple lumps which are sore to touch), particularly on your hands, arms, fingers, face, and neck, which may also be accomp

How To Manage Side Effects

Nausea or Vomiting:

Take this medicine with, or just after meals. Stick to simple meals. Avoid
eating oil-rich or spicy foods.

Constipation:

Eat plenty of fiber-rich foods such as fresh fruits, vegetables, and cereals,
and drink plenty of water. Exercise more regularly.

Warning & Precautions

!### Pregnancy

PRESZA 50MG TABLET is not recommended for use in pregnant women unless
considered clearly necessary. Consult your doctor before taking it.

!### Breastfeeding

PRESZA 50MG TABLET is not recommended for use in breastfeeding women as it may
pass through the breast milk. Consult your doctor before taking it.

!### Driving and Using Machines

Do not drive or operate any machines if you feel dizzy after taking PRESZA 50MG
TABLET. Consult your doctor before taking it.

!### Alcohol

Avoid consum
doctor before taking it.

!### Kidney

PRESZA 50MG TABLET should be taken with caution in patients with kidney
problems. Consult your doctor before taking.

!### Liver

PRESZA 50MG TABLET is not recommended for use in patients with severe liver
disease. Consult your doctor before taking.

!### Allergy

Do not take PRESZA 50MG TABLET, if you are allergic to Azathioprine or
6-mercaptopurine or any of the other ingredients of this medicine.

Others

PRESZA 50MG TABLET is not recommended for use if you have:

• severe infection
• severe bone marrow disease
• metabolic abnormality called Lesch-Nyhan syndrome

Before taking PRESZA 50MG TABLET, inform your doctor if you:

• ever suffered from chickenpox or shingles
• have TPMT or NUDT15 deficiency
• have higher risk of infections
• have hair loss
• have tumors, including skin cancer
• have lymphoproliferative disorders
• have Macrophage Activation Syndrome (excessive activation of white blood cells associated with inflammation) causes certain types of arthritis
• have increased risk of developing lymphoma
• have hepatosplenic T-cell lymphoma (HSTCL), a rare type of T-cell lymphoma
• have Crohn's disease or ulcerative colitis
• have severe leukopenia, thrombocytopenia, anemias including macrocytic anemia, and/or pancytopenia

Use in pediatrics:

Safety and efficacy of PRESZA 50MG TABLET in pediatric patients have not been
established. Consult your doctor before taking it.

Use in geriatrics:

PRESZA 50MG TABLET should be used with caution in elderly patients. Consult your
doctor before taking it.

Interactions

A. Drug-Drug interactions:

• medicines used to manage viral infections (Ex. ribavirin)
• immunosuppressants (Ex. ciclosporin, methotrexate, tacrolimus)
• medicines to manage cancer (Ex. Doxorubicin)
• allopurinol, oxipurinol or thiopurinol, or other xanthine oxidase inhibitors, such as febuxostat (for gout or kidney stones)
• cimetidine (for gut or stomach ulcers)
• furosemide (water medicine )
• penicillamine (used for rheumatoid arthritis)
• anticoagulants such as warfarin or acenocoumarol (used to thin the blood)
• captopril (used for blood pressure or heart failure)
• indomethacin (an anti-inflammatory)
• co-trimoxazole (an antibiotic)
• infliximab, mesalazine, olsalazine, sulfasalazine, or balsalazide (used to manage ulcerative colitis or Crohn’s disease)

Overdosage:

If you or anyone else accidentally takes too much of PRESZA 50MG TABLET, consult
your doctor immediately or visit the nearby hospital. Symptoms of overdose
include nausea, vomiting and diarrhea, and lack of white blood cells which may
cause frequent infections such as fever, severe chills, sore throat or mouth
ulcers, disturbances of your liver function, bruising, and bleeding.

Synopsis

Drug	:	Azathioprine
Pharmacological Category	:	Immunosuppressants
Therapeutic Indication	:	Prevention of organ rejection in transplant patients, Management of Rheumatoid arthritis
Dosage Forms	:	Tablet

More Information

• Keep PRESZA 50MG TABLET reach out of children
• Store at room temperature

FAQs About PRESZA 50MG TABLET

Does PRESZA 50MG TABLET increase the chance of infections?

It may cause leukopenia (decreased number of white blood cells) and hence makes
more susce
infections such as fever, sore throat, breathlessness, jaundice, unexplained
bleeding, or bruising.

Is PRESZA 50MG TABLET safe to take during pregnancy?

No, it is not safe to take PRESZA 50MG TABLET during pregnancy. Consult your
doctor before taking it.

IsPRESZA 50MG TABLET can be stopped at any time?

No. Do not stop taking PRESZA 50MG TABLET without consulting your doctor as you
may need to take it indefinitely to help stop transplant rejection.

How long do I need to take PRESZA 50MG TABLET?

The duration varies from person to person as it is prescribed depending upon the
patient’s medical condition.

What should I do if I forget a dose of PRESZA 50MG TABLET?

If you miss a dose of PRESZA 50MG TABLET, take the dose as soon as you remember
it. Do not take a double dose to make up for a missed one.

Is breastfeeding safe during PRESZA 50MG TABLET management?

No, breastfeeding should be avoided, while taking this medicine, since it may
harm the baby and cause serious side effects. Consult your doctor before taking.

Useful Diagnostic Tests

• Rheumatoid Factor - Agglutination
• Rheumatoid Factor - Turbidometry
• Rheumatoid Factor IgG Antibody