What can you not take with Imuran?
Emma Payne
Published Jan 13, 2026
Some products that may interact with this drug are: febuxostat, past or present use of certain cancer drugs (such as cyclophosphamide, melphalan), other drugs that weaken the immune system/increase the risk of infection (such as rituximab, tofacitinib).
What drugs interact with Imuran?
Most frequently checked interactions
- aspirin.
- Cymbalta (duloxetine)
- Flexeril (cyclobenzaprine)
- folic acid.
- gabapentin.
- Lasix (furosemide)
- lisinopril.
- Lyrica (pregabalin)
Can you take vitamin D with Imuran?
Interactions between your drugs
No interactions were found between Imuran and Vitamin D3.
Can I take vitamin D with azathioprine?
Interactions between your drugs
No interactions were found between azathioprine and Vitamin D3.
Can I take Tylenol on Imuran?
No interactions were found between Imuran and Tylenol. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.
18 related questions foundIs Imuran a high risk medication?
Imuran may cause a rare type of lymphoma (cancer) of the liver, spleen, and bone marrow that can be fatal. This has occurred mainly in teenagers and young men with Crohn's disease or ulcerative colitis. However, anyone with an inflammatory autoimmune disorder may have a higher risk of lymphoma.
Is 50 mg of azathioprine a lot?
The usual dose is 150-200 mg a day but the dose can vary depending on your weight and tolerance of the medication. Start with one 50 mg tablet daily usually in the morning with a meal. After one week, you should have your blood drawn.
What drugs should not be taken with azathioprine?
Some products that may interact with this drug are: febuxostat, past or present use of certain cancer drugs (such as cyclophosphamide, melphalan), other drugs that weaken the immune system/increase the risk of infection (such as rituximab, tofacitinib). Azathioprine is very similar to mercaptopurine.
Does Imuran make you tired?
Azathioprine oral tablet doesn't cause drowsiness, but it can cause other side effects.
How long can you stay on Imuran?
If tolerated, you will probably be on azathioprine for up to 5 years. Do not stop taking your medicine unless your doctor tells you to, even if you feel well.
What vitamins should I take while on steroids?
Some doctors recommend that people taking corticosteroids for longer than two weeks supplement with at least 2 mg of vitamin B6 per day. The interaction is supported by preliminary, weak, fragmentary, and/or contradictory scientific evidence.
Can you take Vitamin C with azathioprine?
Interactions between your drugs
No interactions were found between azathioprine and Vitamin C. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.
What are the long term side effects of Imuran?
What are the possible side effects of azathioprine (Imuran®)?
- Increased stomach irritation, abdominal pain.
- Nausea and vomiting.
- Changes in hair color and texture, along with hair loss. ...
- Loss of appetite.
- Blood in the urine or stool.
- Unusual bruising.
- Fatigue.
- Development of mouth sores and ulcers.
Can I take prednisone and Imuran together?
No interactions were found between Imuran and prednisone. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.
What is Imuran 50mg used for?
Imuran Tablets may be used to help your body accept an organ transplant, such as a new kidney, heart or liver, or to treat some diseases where your immune system is reacting against your own body (autoimmune diseases).
Can you take ibuprofen with Imuran?
Interactions between your drugs
No interactions were found between ibuprofen and Imuran. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.
Can azathioprine affect your eyes?
You should tell your doctor or nurse specialist straight away if you develop any of the following after starting azathioprine: a sore throat, fever or any other signs of infection. unexplained bruising or bleeding. yellowing of the skin or eyes, this is known as jaundice.
Is Imuran a steroid?
Imuran and prednisone belong to different drug classes. Imuran is an immunosuppressive antimetabolite and prednisone is a corticosteroid. Side effects of Imuran and prednisone that are similar include nausea or vomiting.
What are the withdrawal symptoms of azathioprine?
You may have withdrawal symptoms.
These include fatigue, weakness, nausea, joint pain, and body aches.
What is the best time of day to take azathioprine?
Azathioprine is best taken on an empty stomach, at least 1 hour before or 3 hours after food or milk. But if azathioprine makes you feel nauseous (sick), try taking it after food or at bedtime, or ask your doctor if you can divide your dose and take it twice a day. Swallow your tablets whole with a drink of water.
How toxic is azathioprine?
Conclusions: From this study, it was estimated at 6% the risk of toxicity by the administration of azathioprine and 6-mercaptopurine to patients in Joinville.
Is azathioprine like chemo?
There are quite a few chemotherapy drugs on the market, but only three are widely used in treating rheumatic diseases today. They are Methotrexate (Rheumatrex), Azathioprine (Imuran), and Cyclophosphamide (Cytoxan). Methotrexate is the chemotherapeutic drug most widely used by rheumatologists.
Can azathioprine cause itchy skin?
Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
What does azathioprine do to your body?
Azathioprine is a type of medicine called an immunosuppressant. These medicines work by suppressing or "calming" your immune system. This means your immune system becomes weaker. If you take azathioprine for an inflammatory or autoimmune condition, it slows down the production of new cells in your body's immune system.
Does Imuran affect the liver?
When there's no more glutathione left in your liver, both alcohol and Imuran can damage liver cells, which can lead to serious health problems. One case, published in 2007 , found that binge-drinking led to dangerous liver damage in a person with Crohn's disease who was taking Imuran.