Cumulative experience with short- and long-term toxicity to 6-mercaptopurine in the treatment of Crohn's disease and ulcerative colitis.

Abstract:

BACKGROUND AND AIMS:The efficacy of 6-mercaptopurine (6-MP) in the treatment and long-term maintenance of remission of inflammatory bowel disease and prevention of recurrence after resection in Crohn's disease have been established. Concern about 6-MP toxicity remains, especially the development of neoplasm. The aim of this study is to determine the incidence of all short- and long-term toxicity by follow-up of all patients with inflammatory bowel disease treated with 6-MP over a 20-year period. MATERIALS AND METHODS:We reviewed the office and hospital records and also determined the recent status of 410 patients with inflammatory bowel disease treated with 6-MP from 1980 to 1999. All toxicity was recorded. RESULTS:There was a low incidence of early drug-related allergic reactions (3.9%) and pancreatitis (1.2%). Desensitization to either 6-MP or azathioprine is often successful with the same or the other drug. Significant leukopenia (

journal_name

J Clin Gastroenterol

authors

Warman JI,Korelitz BI,Fleisher MR,Janardhanam R

doi

10.1097/00004836-200309000-00006

subject

Has Abstract

pub_date

2003-09-01 00:00:00

pages

220-5

issue

3

eissn

0192-0790

issn

1539-2031

journal_volume

37

pub_type

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