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Azathioprine

azaTHIOprine 50MG

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What is Azathioprine?

Azathioprine is a medication used to help prevent the body from rejecting a transplanted kidney and to treat severe rheumatoid arthritis when other treatments have not worked.

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What is Azathioprine ?

Azathioprine is a medication used to help prevent the body from rejecting a transplanted kidney and to treat severe rheumatoid arthritis when other treatments have not worked.

  • Sores on the skin, swollen glands, abnormal skin growths
  • Unusual bleeding, bruising, or weakness
  • Severe stomach pain, nausea, vomiting, or diarrhea
  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Fever, chills, cough, sore throat, body aches
  • Lightheadedness, dizziness, or fainting
  • Keep all medicine out of the reach of children. Never share your medicine with anyone.
  • It is not safe to take this medicine during pregnancy. It could harm an unborn baby. Tell your doctor right away if you become pregnant.
  • Tell your doctor if you are breastfeeding, or if you have kidney disease, liver disease, stomach or bowel problems (including Crohn's disease, ulcerative colitis), blood or bone marrow problems, or any type of infection.
  • This medicine may cause the following problems:Increased risk of cancer (including skin cancer, solid tumor, leukemia, or lymphoma)Increased risk of infection, including progressive multifocal leukoencephalopathy (PML)Serious bowel allergic reactions
  • This medicine may make you bleed, bruise, or get infections more easily. Take precautions to prevent illness and injury. Wash your hands often.
  • Use sunscreen with a sun protection factor (SPF) of at least 15 when you are outdoors. Wear protective clothing and hats, and stay out of direct sunlight between the hours of 10 am and 3 pm Avoid sunlamps and tanning beds.
  • Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
What is azathioprine used for?

Azathioprine is FDA-approved to help prevent rejection in people who have had a kidney transplant and to treat severe, active rheumatoid arthritis that has not responded to other treatments. Doctors also use it for a range of other immune-related conditions. Your prescriber can explain why it was chosen for you.

How long does azathioprine take to work?

Azathioprine usually does not work right away. It often takes several weeks to a few months before you notice its full benefit, so it is important to keep taking it as prescribed even if you do not feel a difference at first. Do not stop the medicine without talking to your doctor.

What are the most common side effects of azathioprine?

Common side effects can include nausea, vomiting, and other stomach upset, especially when starting. More serious concerns include lowered blood cell counts, increased risk of infection, liver problems, and inflammation of the pancreas. Report fever, unusual bleeding or bruising, severe belly pain, or signs of infection to your doctor promptly.

Why do you need blood tests (TPMT/CBC) while taking azathioprine?

Azathioprine can suppress the bone marrow and lower your blood cell counts, so a complete blood count (CBC) is checked regularly to catch problems early. Testing for TPMT or NUDT15 enzyme activity helps identify people who break the drug down more slowly and are at higher risk of side effects, so the dose can be adjusted safely.

Can you take azathioprine while pregnant or breastfeeding?

Azathioprine can harm a developing baby, so it is generally avoided during pregnancy when possible. If you are pregnant, planning to become pregnant, or breastfeeding, talk with your doctor before taking or continuing azathioprine so you can weigh the risks and benefits together. Do not make changes on your own.

How much does azaTHIOprine 50MG cost without insurance?
The price of azaTHIOprine 50MG without insurance varies by pharmacy, dosage, and quantity. Rx.com compares cash prices at more than 60,000 US pharmacies so you can find the lowest price near you. Many people save 60–90% off retail prices with a free Rx.com coupon.
What are the common side effects of azaTHIOprine 50MG?
Common side effects of azaTHIOprine 50MG may include: Sores on the skin, swollen glands, abnormal skin growths, Unusual bleeding, bruising, or weakness, Severe stomach pain, nausea, vomiting, or diarrhea, Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing, Fever, chills, cough, sore throat, body aches. This is not a complete list — consult your pharmacist or doctor for full side effect information.
Is there a generic version of azaTHIOprine 50MG?
Generic versions may be available for azaTHIOprine 50MG. Generics contain the same active ingredients as brand-name drugs and are typically 80–90% cheaper. Search azaTHIOprine 50MG on Rx.com to compare generic and brand prices at pharmacies near you.
What is the cheapest pharmacy for azaTHIOprine 50MG?
The cheapest pharmacy for azaTHIOprine 50MG depends on your location and dosage. Rx.com compares prices at CVS, Walgreens, Walmart, Kroger, Costco, and thousands of independent pharmacies. Enter your ZIP code on Rx.com to find the lowest price for azaTHIOprine 50MG near you.

Azathioprine Coupons & Prices

azaTHIOprine 50MG

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Azathioprine Tablet — prescription drug image
Prescription
Azathioprine 50mg (45)
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Compounded GLP-1 medications are not FDA-approved and are prepared by state-licensed compounding pharmacies. They are not affiliated with, endorsed by, or equivalent to any brand-name medication or manufacturer. Prescription required; eligibility is determined by a licensed provider. Prices are estimates and may vary.

Azathioprine prices by dosage

Lowest cash price with a free Rx.com coupon vs. the average retail price.

Dosage Quantity Retail price Rx.com price
50mg · Tablet 30 $41.79 $14.88
75mg · Tablet 30 $355.29 $149.67
100mg · Tablet 30 $363.59 $64.52

Cash prices near ZIP 77433; updated regularly. Actual pharmacy price may vary.

Looking for an azathioprine coupon? Azathioprine is the low-cost generic version of the brand-name drugs Imuran and Azasan, an immunosuppressant used to help prevent kidney transplant rejection and to treat severe rheumatoid arthritis. Because it is a generic, the cash price is usually modest, but it can still vary widely from one pharmacy to another. Enter your ZIP code above to compare today's azathioprine prices across more than 60,000 pharmacies and print or show a free Rx.com coupon at the pharmacy counter.

What is azathioprine and how does it work?

Azathioprine is an immunosuppressant in the purine antimetabolite class. It works by dampening the activity of the body's immune system, which lowers the chance that the immune system will attack a transplanted organ or the body's own tissues. It is FDA-approved to help prevent rejection in people who have received a kidney (renal) transplant and to treat severe, active rheumatoid arthritis that has not responded to other standard treatments.

Doctors also prescribe azathioprine for a number of other immune-related conditions. Azathioprine is taken by mouth, usually once or twice daily, and it typically takes time to reach its full effect. Your prescriber will decide the right dose and monitoring plan for your situation.

Azathioprine cost and coupons without insurance

Azathioprine is available as a generic, which usually makes it one of the more affordable immunosuppressants to fill. Even so, the cash price is not the same everywhere. Two pharmacies in the same town can charge noticeably different amounts for the identical tablets, which is exactly why comparing before you fill is worth it. The brand-name versions, Imuran and Azasan, are typically more expensive than the generic.

Rx.com compares live azathioprine prices across more than 60,000 U.S. pharmacies so you can see who is cheapest near you. There is no manufacturer copay card for generic azathioprine, but our discount coupon is free to use whether or not you have insurance. Enter your ZIP code above to see today's price and get your coupon.

Azathioprine alternatives and related drugs

Azathioprine is closely related to mercaptopurine (the two are metabolized along the same pathway). Depending on the condition being treated, prescribers may consider other immunosuppressants such as methotrexate, mycophenolate, tacrolimus, or cyclosporine. Each works differently and has its own monitoring needs.

Only your doctor can decide which medicine is right for you. If cost is a factor, you can compare prices for these alternatives on Rx.com and discuss the options with your prescriber. Never switch or stop an immunosuppressant on your own.

Important safety information

Azathioprine carries a boxed warning: long-term immune suppression can raise the risk of certain cancers, including skin cancers and lymphoma. It can also lower blood cell counts (bone marrow suppression), which is why regular blood tests are required. People with reduced TPMT or NUDT15 enzyme activity are at higher risk, and testing for these is recommended before or during treatment. Azathioprine also increases the chance of serious infections and can affect the liver.

Tell your provider about every medicine you take. Combining azathioprine with allopurinol or febuxostat (gout medicines) requires a major dose reduction and can be dangerous otherwise, and drugs such as ACE inhibitors, trimethoprim-sulfamethoxazole, and ribavirin can worsen its effect on blood counts. Live vaccines should be avoided. This information is a summary and is not medical advice; talk with your doctor or pharmacist about your personal risks and monitoring plan.

Sources & accuracy

This Azathioprine information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.

Verify the official label: Azathioprine on DailyMed (FDA)

Reviewed against FDA labeling · Last reviewed July 2026

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Medical disclaimer: This information is provided for general educational purposes only and is not medical advice. It is not a substitute for professional diagnosis or treatment. Always consult a licensed physician, pharmacist, or other qualified healthcare provider before starting, stopping, or changing any medication or treatment. Never disregard professional medical advice or delay seeking it because of something you read here. If you think you may have a medical emergency, call your doctor or 911 immediately.


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