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Precautions

If you'll be investing in this medicine for years, it is very important that your physician check you at regular visits for almost any problems or unwanted side effects which might be brought on by this medicine. Blood tests may be required to test for uncomfortable side effects.

Using this medicine while you are pregnant may damage your unborn baby. Use an effective kind of birth control to keep from having a baby. If you think you have conceive while using this medicine, tell a medical expert straight away.

Do not employ this medicine should you be also taking mercaptopurine (Purinethol®). Using these medicines together might lead to serious unwanted side effects.

If you are using azathioprine for arthritis, ensure your medical professional knows in case you received chlorambucil (Leukeran®), cyclophosphamide (Cytoxan®, Neosar®), or melphalan (Alkeran®) to treat your arthritis inside the past. Using azathioprine after these medicines may improve your risk for uncomfortable side effects. Talk to your doctor in case you have queries about this.

This medicine may raise your chance of getting certain types of cancer, especially with the skin, lymph system (lymphoma), or blood (leukemia). Talk to your medical professional when you have concerns about this risk.

Use sunscreen or sunblock lotions with a suncreen factor (SPF) with a minimum of 15 frequently when you might be outdoors. Wear protective clothing and hats, and grow beyond sunlight involving the hours of 10 a.m. and 3 p.m. Avoid sunlamps and tanning beds.

While you are receiving care with azathioprine, and after you stop treatment with it, usually do not have any immunizations (vaccines) without your doctor's approval. Azathioprine may lessen your body's resistance as well as the vaccine may well not be well or you may have the infection the vaccine is meant to avoid. In addition, it's not necassary to be around other persons living in all your family members who receive live virus vaccines since there is the opportunity they can pass the herpes simplex virus onto you. Some examples of live vaccines include measles, mumps, influenza (nasal flu vaccine), poliovirus (oral form), rotavirus, and rubella. Do not get near to them and do not stay in the same room with these for too long. If you've questions on this, talk to your physician.

Azathioprine can temporarily lower the number of white blood cells within your blood, improving the potential for getting infection. It can also lower the amount of platelets, which are necessary for proper blood clotting. If this occurs, there are particular precautions you can take, particularly if your blood count is low, to lessen the chance of infection or bleeding:

• If you can, avoid those with infections. Check with a medical expert as quickly as possible in case you think you happen to be getting an infection or if you get a fever or chills, cough or hoarseness, back or side pain, or painful or difficult urination.
• Check with your physician as quickly as possible in the event you notice any unusual bleeding or bruising; black, tarry stools; blood within the urine or stools; or pinpoint red spots onto the skin.

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• Be careful when working with a regular toothbrush, dental floss, or toothpick. Your physician, dentist, or nurse may recommend other solutions to clean your teeth and gums. Check with your medical professional before having any dental work done.

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• Do not touch your eyes or the inside your nose unless you have just washed both your hands and have not touched other things.
• Be careful never to cut yourself when you are using sharp objects such like a safety razor or fingernail or toenail cutters.
• Avoid contact sports and other situations where bruising or injury could occur.

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Check with your medical professional without delay for those who have more than one of those symptoms while you are utilizing this medicine: severe queasiness; diarrhea; fever; rash; a broad a feeling of discomfort or illness; muscle or pain; lightheadedness or dizziness; or unusual tiredness or weakness. These could be symptoms of your serious reaction towards the medicine with your bowel (intestine).

Do not take other medicines unless they've been discussed with your physician. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

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