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All drugs may cause side effectsHowevermany people have no side effects or only have minor side effectsCall your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:

Plasma levels of azathioprine and 6-mercaptopurine do not correlate well with the therapeutic efficacy or toxicity of Imuran.

Long-term use may raise your chance of cancerLymphoma and other cancers have happened in people who take Imuranazathioprine tabletsor drugs like itThis has been deadly in some casesTalk with the doctorA rare type of cancer called hepatosplenic T-cell lymphomaHSTCLhas happened with Imuranazathioprine tabletsThese cases have been deadlyMost of the timethese cases happened in teenagers or young adultsMost of these patients were using Imuranazathioprine tabletsto treat certain types of bowel problems like Crohn disease and ulcerative colitisThis medicine is not approved for use to treat bowel problems like theseTell the doctor if you have ever had any type of cancerTalk with the doctor.

When therapeutic response is evidentconsideration should be given to reducing the maintenance dosage to the lowest level compatible with the maintenance of that responseIf no improvement occurs in the patient’s condition within 3 monthsconsideration should be given to withdrawing Imuran.

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