Table 1.
Adverse events with thiopurine therapy.
Infection | Viral: |
HSV varicella | |
HPV varicella | |
Tuberculosis | |
PCP | |
Liver toxicity | Nodular regeneration |
Cholestasis | |
Drug-induced hepatitis | |
Viral hepatitis | |
Lymphoma | Non-Hodgkin's |
Usually EBV-related | |
Background risk in IBD | |
Other malignancy | Cervical dyskaryosis |
Other malignancy uncommon | |
Bone marrow suppression | 7% experience some; severe effect in 1.1% |
Fertility and pregnancy | Consider risk vs benefit |
Safe for pregnant women | |
Teratogenicity rare in males | |
Breastfeeding probably safe | |
No effect on fertility |
EBV, Epstein-Barr virus; HPV, human papilloma virus; HSV, herpes simplex virus; IBD, inflammatory bowel disease; PCP, pneumocystis carinii pneumonia.