Abstract
Thiopurines are effective in maintaining remission in chronic inflammatory bowel diseases, but incomplete response or side effects are common during standard-dose treatment. In this article thiopurine metabolism and pharmacogenetic aspects are summarized showing their benefits in improving therapy in chronic inflammatory bowel disease. An increasing body of evidence suggests that a large part of the observed non-pancreatic side effects and poor responses can be solved by tailoring thiopurine therapy using measurement of thiopurine methyltransferase and metabolites and by using a combination therapy with low-dose thiopurines and allopurinol.
Translated title of the contribution | Optimized thiopurine treatment in chronic inflammatory bowel disease. |
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Original language | Danish |
Journal | Ugeskrift for Laeger |
Volume | 176 |
Issue number | 22 |
Pages (from-to) | 2-5 |
Number of pages | 4 |
ISSN | 0041-5782 |
Publication status | Published - 2014 |