Europe — EMA
Lanvis (Tioguanine)
GNH USA supplies Lanvis (Tioguanine), a purine analog for acute lymphoblastic leukemia, chronic myeloid leukemia and inflammatory bowel disease.
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What is Tioguanine?
Tioguanine, the active ingredient in Lanvis, is a purine analog presented as an oral formulation for oral use. It is employed in the treatment of certain leukemias and inflammatory bowel disease, targeting rapidly dividing cells in affected patients across populations worldwide.
GNH USA supplies Lanvis as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide, with a focus on quality assurance, regulatory compliance and reliable logistics for global healthcare providers, ensuring consistent product availability across regions.
What is Tioguanine used for?
Lanvis (tioguanine) is used in hematologic malignancies and certain inflammatory conditions.
Acute lymphoblastic leukemia: helps achieve remission by inhibiting leukemic cell proliferation. Chronic myeloid leukemia: contributes to disease control through cytotoxic effects on malignant clones. Inflammatory bowel disease: reduces intestinal inflammation by suppressing overactive immune cell replication.
What are the side effects of Tioguanine?
Tioguanine may cause a range of adverse reactions, varying from mild to severe.
Common Side Effects: - Nausea and vomiting - Diarrhea - Myelosuppression (e.g., neutropenia, anemia) - Alopecia and fatigue
Serious or Rare Side Effects: - Severe bone marrow suppression - Hepatic toxicity - Secondary malignancies - Severe infections and hypersensitivity reactions
What precautions apply to Tioguanine?
When using Lanvis, careful monitoring and patient counseling are essential. - Blood count monitoring: perform regular complete blood counts to detect myelosuppression. - Liver function monitoring: assess hepatic enzymes periodically. - Renal function: adjust use in severe renal impairment. - Pregnancy and lactation: use only if benefits outweigh unknown risks. - Concomitant myelosuppressive agents: avoid or use with caution. - Store below 25°C: keep in the original pack, protect from moisture.
What does Tioguanine interact with?
Tioguanine interacts with several medicines; some combinations should be avoided while others require close observation.
Major Interactions (Avoid): - Concurrent use with other antimetabolites (e.g., azathioprine): may cause additive myelosuppression. - Allopurinol: can increase tioguanine toxicity. - Live vaccines: risk of severe infection due to immunosuppression.
Moderate Interactions (Monitor Closely): - Antibiotics such as sulfonamides: may enhance bone marrow suppression. - NSAIDs: may increase risk of gastrointestinal irritation. - Antifungal agents (e.g., fluconazole): may alter metabolism.



