Tioguanin

Products

Tioguanine is commercially available in tablet form (Lanvis). It has been approved in many countries since 1973.

Structure and properties

Tioguanine (C5H5N5S, Mr = 167.2 g/mol) is a 6-thiol analog of guanine.

Effects

Tioguanine (ATC L01BB03) has cytotoxic properties as a purine antimetabolite.

Indications

For the treatment of acute myeloid leukemia. Other indications include acute lymphoblastic leukemia and chronic myeloid leukemia.

Dosage

According to the SmPC. The tablets must be taken fasting.

Contraindications

Tioguanine is contraindicated in case of hypersensitivity. For complete precautions, see the drug label.

Interactions

Drug-drug interactions have been described with aminosalicylates.

Adverse effects

The most common possible adverse effects include leukopenia,thrombocytopenia, oral mucositis, nausea, vomiting, and liver toxicity.