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Active pharmaceutical ingredient

Mercaptopurine

Mercaptopurine is a potent antimetabolite used primarily in the treatment of certain types of cancer, including acute lymphoblastic leukemia (ALL).

Compounded to order
Prescription required
Warwick, Rhode Island

About this ingredient

Mercaptopurine, also known as 6-mercaptopurine or 6-MP, is a potent antimetabolite used primarily in the treatment of certain types of cancer, including acute lymphoblastic leukemia (ALL). It functions by interfering with the synthesis of purine nucleotides, which are essential components of DNA and RNA, thereby inhibiting the proliferation of rapidly dividing cancer cells. This mechanism of action makes mercaptopurine a critical component in chemotherapy regimens, particularly in maintenance therapy for ALL.

In addition to its oncological applications, mercaptopurine is also utilized in the management of autoimmune conditions such as Crohn's disease and ulcerative colitis. By modulating the immune response, it helps reduce inflammation and maintain remission in these chronic conditions. The pharmacokinetics of mercaptopurine involve hepatic metabolism, primarily through the enzyme thiopurine S-methyltransferase (TPMT), which can vary significantly among individuals, affecting both efficacy and toxicity.

Due to its narrow therapeutic index, careful monitoring of blood counts and liver function is essential during treatment with mercaptopurine. Genetic testing for TPMT activity may be recommended to tailor dosing and minimize adverse effects. Common side effects include myelosuppression, hepatotoxicity, and gastrointestinal disturbances, necessitating a personalized approach to therapy. As a compounding pharmacy, Bayview Pharmacy is committed to providing customized formulations of mercaptopurine to meet the specific needs of patients, ensuring optimal therapeutic outcomes.

Available formulations

Compounded formulations containing this ingredient

Each of these is compounded to order at our Warwick, Rhode Island pharmacy and requires a prescription.

We do not have a patient page for this ingredient yet. That does not mean we cannot make it. Bayview compounds this ingredient to a prescriber's order, and our full compounding formulary lists every preparation we make. Viewing the formulary requires a prescriber account.

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Compounding formulary

Formulas we compound with this ingredient

A sample of preparations from our formulary. Strengths and dose forms are customised to the prescription.

Common questions

Frequently asked questions

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Related

Related active ingredients

Other salt forms of this molecule, and ingredients commonly compounded alongside it.

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Important information

This page describes an active pharmaceutical ingredient, not a finished drug product. Bayview Pharmacy compounds preparations containing it only on a prescriber's order for an individual patient.

Compounded preparations are not FDA-approved, and the FDA has not evaluated them for safety, effectiveness, or manufacturing quality. Nothing on this page is a claim that any preparation is effective for any condition.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Talk to a compounding pharmacist

Our pharmacists work with prescribers to build preparations around a patient's dose, form and tolerances. Ask us what is possible with this ingredient.