Use of thiopurines in inflammatory bowel disease.

Abstract:

:The use of thiopurines as immunosuppression for the treatment of refractory or chronic active inflammatory bowel disease is established for both Crohn's disease and ulcerative colitis. Nevertheless, many questions remain concerning the optimal treatment regimens of azathioprine, 6-mercaptopurine and thioguanine. We will briefly summarize dose recommendations, indications for thiopurine therapy and side effects which are relevant in clinical practice. We discuss some currently debated topics, including the combination of azathioprine and allopurinol, switching of thiopurine therapy in case of side effects, the use of azathioprine in pregnancy, the infection risk using thiopurines and the evidence when to stop thiopurines. Excellent reviews have been published on the thiopurine metabolic pathway which will not be discussed here in detail.

journal_name

World J Gastroenterol

authors

Frei P,Biedermann L,Nielsen OH,Rogler G

doi

10.3748/wjg.v19.i7.1040

subject

Has Abstract

pub_date

2013-02-21 00:00:00

pages

1040-8

issue

7

eissn

1007-9327

issn

2219-2840

journal_volume

19

pub_type

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