Most patients with IgAV only require adequate analgesia and supportive treatment. IgAV commonly resolves spontaneously over weeks to a few months; complete recovery occurs in 94% of children.[35]Blanco R, Martinez-Taboada VM, Rodriguez-Valverde V, et al. Henoch-Schonlein purpura in adulthood and childhood: two different expressions of the same syndrome. Arthritis Rheum. 1997 May;40(5):859-64.
http://www.ncbi.nlm.nih.gov/pubmed/9153547?tool=bestpractice.com
The primary goal is therefore to provide symptomatic treatment.
Corticosteroids and/or immunosuppressants may be indicated for renal involvement, cerebral vasculitis, pulmonary haemorrhage, other life-threatening manifestations of vasculitis, and orchitis. Moderate to severe gastrointestinal (GI) or skin involvement may require corticosteroid therapy. Prescribing a corticosteroid to prevent subsequent renal inflammation is not recommended.[36]Hahn D, Hodson EM, Craig JC. Interventions for preventing and treating kidney disease in IgA vasculitis. Cochrane Database Syst Rev. 2023 Feb 28;(2):CD005128.
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD005128.pub4/full
http://www.ncbi.nlm.nih.gov/pubmed/36853224?tool=bestpractice.com
[37]Kidney Disease: Improving Global Outcomes (KDIGO) Glomerular Diseases Work Group. KDIGO 2021 clinical practice guideline for the management of glomerular diseases. Kidney Int. 2021 Oct;100(4S):S1-276.
https://kdigo.org/guidelines/gd
[
]
How does prednisone affect renal outcomes in children with immunoglobulin A vasculitis (IgAV)?/cca.html?targetUrl=https://www.cochranelibrary.com/cca/doi/10.1002/cca.4268/fullShow me the answer
This section focuses on the management of children only. Discussion of the management of adults is beyond the scope of this topic.
Management of nephritis
Corticosteroids are usually indicated for children with biopsy-proven IgAV nephritis.[29]Ozen S, Marks SD, Brogan P, et al. European consensus-based recommendations for diagnosis and treatment of immunoglobulin A vasculitis - the SHARE initiative. Rheumatology (Oxford). 2019 Sep 1;58(9):1607-16.
https://www.doi.org/10.1093/rheumatology/kez041
http://www.ncbi.nlm.nih.gov/pubmed/30879080?tool=bestpractice.com
Immunosuppressants can be used as corticosteroid-sparing agents, or as a second-line therapy. There is no evidence to support the use of one particular immunosuppressant; azathioprine, mycophenolate, cyclophosphamide, or a calcineurin inhibitor (e.g., ciclosporin, tacrolimus) are all in clinical use.[33]UK Kidney Association. The management of complications associated with IgA vasculitis (Henoch Schönlein Purpura) in children and young people. Dec 2022 [internet publication].
https://www.ukkidney.org/about-us/news/iga-vasculitis-guideline-rcpch-endorsed
[36]Hahn D, Hodson EM, Craig JC. Interventions for preventing and treating kidney disease in IgA vasculitis. Cochrane Database Syst Rev. 2023 Feb 28;(2):CD005128.
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD005128.pub4/full
http://www.ncbi.nlm.nih.gov/pubmed/36853224?tool=bestpractice.com
[38]Rohner K, Marlais M, Ahn YH, et al. Outcome of immunosuppression in children with IgA vasculitis-related nephritis. Nephrol Dial Transplant. 2024 Jul 31;39(8):1299-309.
https://academic.oup.com/ndt/article/39/8/1299/7517078
http://www.ncbi.nlm.nih.gov/pubmed/38211969?tool=bestpractice.com
In the presence of persistent proteinuria, an ACE inhibitor or angiotensin-II receptor antagonist can prevent or limit secondary glomerular injury.[7]Oni L, Sampath S. Childhood IgA vasculitis (Henoch Schonlein purpura) - advances and knowledge gaps. Front Pediatr. 2019 Jun 27;7:257.
https://www.doi.org/10.3389/fped.2019.00257
http://www.ncbi.nlm.nih.gov/pubmed/31316952?tool=bestpractice.com
[29]Ozen S, Marks SD, Brogan P, et al. European consensus-based recommendations for diagnosis and treatment of immunoglobulin A vasculitis - the SHARE initiative. Rheumatology (Oxford). 2019 Sep 1;58(9):1607-16.
https://www.doi.org/10.1093/rheumatology/kez041
http://www.ncbi.nlm.nih.gov/pubmed/30879080?tool=bestpractice.com
Specific management strategies depend on the severity of nephritis. Patients should be referred to a nephrologist when starting treatment for IgAV nephritis.
Mild nephritis: normal GFR and mild or moderate proteinuria
In mild nephritis that has been biopsy proven, for most clinicians the first-line treatment is oral prednisolone. Supporting evidence is, however, of low quality.[29]Ozen S, Marks SD, Brogan P, et al. European consensus-based recommendations for diagnosis and treatment of immunoglobulin A vasculitis - the SHARE initiative. Rheumatology (Oxford). 2019 Sep 1;58(9):1607-16.
https://www.doi.org/10.1093/rheumatology/kez041
http://www.ncbi.nlm.nih.gov/pubmed/30879080?tool=bestpractice.com
Azathioprine or mycophenolate may be considered as corticosteroid-sparing agents or as second-line treatment.[29]Ozen S, Marks SD, Brogan P, et al. European consensus-based recommendations for diagnosis and treatment of immunoglobulin A vasculitis - the SHARE initiative. Rheumatology (Oxford). 2019 Sep 1;58(9):1607-16.
https://www.doi.org/10.1093/rheumatology/kez041
http://www.ncbi.nlm.nih.gov/pubmed/30879080?tool=bestpractice.com
Pulsed-dose intravenous methylprednisolone is rarely required for mild IgAV nephritis.
Mild cases associated with persistent proteinuria may be managed with an ACE inhibitor or angiotensin-II receptor antagonist, either in combination with immunosuppression or in isolation.[7]Oni L, Sampath S. Childhood IgA vasculitis (Henoch Schonlein purpura) - advances and knowledge gaps. Front Pediatr. 2019 Jun 27;7:257.
https://www.doi.org/10.3389/fped.2019.00257
http://www.ncbi.nlm.nih.gov/pubmed/31316952?tool=bestpractice.com
[29]Ozen S, Marks SD, Brogan P, et al. European consensus-based recommendations for diagnosis and treatment of immunoglobulin A vasculitis - the SHARE initiative. Rheumatology (Oxford). 2019 Sep 1;58(9):1607-16.
https://www.doi.org/10.1093/rheumatology/kez041
http://www.ncbi.nlm.nih.gov/pubmed/30879080?tool=bestpractice.com
[33]UK Kidney Association. The management of complications associated with IgA vasculitis (Henoch Schönlein Purpura) in children and young people. Dec 2022 [internet publication].
https://www.ukkidney.org/about-us/news/iga-vasculitis-guideline-rcpch-endorsed
While these agents are typically used in combination with immunosuppressive therapy, UK guidance suggests that they may be considered as a first-line treatment without immunosuppressive therapy in mild cases associated with persistent proteinuria, even if they have not met the threshold for a kidney biopsy.[33]UK Kidney Association. The management of complications associated with IgA vasculitis (Henoch Schönlein Purpura) in children and young people. Dec 2022 [internet publication].
https://www.ukkidney.org/about-us/news/iga-vasculitis-guideline-rcpch-endorsed
Moderate nephritis: <50% crescents on renal biopsy and impaired GFR or severe persistent proteinuria
Pulsed-dose intravenous methylprednisolone and/or oral prednisolone should be used as first-line treatment in patients with moderate IgAV nephritis.[29]Ozen S, Marks SD, Brogan P, et al. European consensus-based recommendations for diagnosis and treatment of immunoglobulin A vasculitis - the SHARE initiative. Rheumatology (Oxford). 2019 Sep 1;58(9):1607-16.
https://www.doi.org/10.1093/rheumatology/kez041
http://www.ncbi.nlm.nih.gov/pubmed/30879080?tool=bestpractice.com
Pulsed-dose intravenous methylprednisolone is indicated for severe organ or life-threatening manifestations of IgAV.[29]Ozen S, Marks SD, Brogan P, et al. European consensus-based recommendations for diagnosis and treatment of immunoglobulin A vasculitis - the SHARE initiative. Rheumatology (Oxford). 2019 Sep 1;58(9):1607-16.
https://www.doi.org/10.1093/rheumatology/kez041
http://www.ncbi.nlm.nih.gov/pubmed/30879080?tool=bestpractice.com
Azathioprine, mycophenolate, a calcineurin inhibitor, or intravenous cyclophosphamide may be used as part of first-line treatment as a corticosteroid-sparing agent or as a second-line treatment, subject to clinical features and histopathological findings of renal biopsy.[29]Ozen S, Marks SD, Brogan P, et al. European consensus-based recommendations for diagnosis and treatment of immunoglobulin A vasculitis - the SHARE initiative. Rheumatology (Oxford). 2019 Sep 1;58(9):1607-16.
https://www.doi.org/10.1093/rheumatology/kez041
http://www.ncbi.nlm.nih.gov/pubmed/30879080?tool=bestpractice.com
[33]UK Kidney Association. The management of complications associated with IgA vasculitis (Henoch Schönlein Purpura) in children and young people. Dec 2022 [internet publication].
https://www.ukkidney.org/about-us/news/iga-vasculitis-guideline-rcpch-endorsed
Intravenous cyclophosphamide is usually reserved for more severe cases.
An ACE inhibitor or angiotensin-II receptor antagonist should be added in cases of persistent proteinuria.[7]Oni L, Sampath S. Childhood IgA vasculitis (Henoch Schonlein purpura) - advances and knowledge gaps. Front Pediatr. 2019 Jun 27;7:257.
https://www.doi.org/10.3389/fped.2019.00257
http://www.ncbi.nlm.nih.gov/pubmed/31316952?tool=bestpractice.com
[29]Ozen S, Marks SD, Brogan P, et al. European consensus-based recommendations for diagnosis and treatment of immunoglobulin A vasculitis - the SHARE initiative. Rheumatology (Oxford). 2019 Sep 1;58(9):1607-16.
https://www.doi.org/10.1093/rheumatology/kez041
http://www.ncbi.nlm.nih.gov/pubmed/30879080?tool=bestpractice.com
[33]UK Kidney Association. The management of complications associated with IgA vasculitis (Henoch Schönlein Purpura) in children and young people. Dec 2022 [internet publication].
https://www.ukkidney.org/about-us/news/iga-vasculitis-guideline-rcpch-endorsed
Severe nephritis: >50% crescents on renal biopsy and impaired GFR or severe persistent proteinuria
Severe IgAV nephritis is managed in a similar manner to severe systemic small vessel vasculitides, such as ANCA-associated vasculitis. An immunosuppressant in combination with an intravenous and/or oral corticosteroid is recommended to induce remission.[29]Ozen S, Marks SD, Brogan P, et al. European consensus-based recommendations for diagnosis and treatment of immunoglobulin A vasculitis - the SHARE initiative. Rheumatology (Oxford). 2019 Sep 1;58(9):1607-16.
https://www.doi.org/10.1093/rheumatology/kez041
http://www.ncbi.nlm.nih.gov/pubmed/30879080?tool=bestpractice.com
Evidence from uncontrolled observational studies suggests that pulsed-dose intravenous methylprednisolone may improve outcomes.[39]Niaudet P, Habib R. Methylprednisolone pulse therapy in the treatment of severe forms of Schonlein-Henoch purpura nephritis. Pediatr Nephrol. 1998 Apr;12(3):238-43.
http://www.ncbi.nlm.nih.gov/pubmed/9630046?tool=bestpractice.com
[40]Ma Y, Han F, Chen L, et al. The impact of intravenous methylprednisolone pulses on renal survival in anti-neutrophil cytoplasmic antibody associated vasculitis with severe renal injury patients: a retrospective study. BMC Nephrol. 2017 Dec 29;18(1):381.
https://www.doi.org/10.1186/s12882-017-0782-4
http://www.ncbi.nlm.nih.gov/pubmed/29287586?tool=bestpractice.com
There is a lack of evidence to support a preferred immunosuppressant.[33]UK Kidney Association. The management of complications associated with IgA vasculitis (Henoch Schönlein Purpura) in children and young people. Dec 2022 [internet publication].
https://www.ukkidney.org/about-us/news/iga-vasculitis-guideline-rcpch-endorsed
[36]Hahn D, Hodson EM, Craig JC. Interventions for preventing and treating kidney disease in IgA vasculitis. Cochrane Database Syst Rev. 2023 Feb 28;(2):CD005128.
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD005128.pub4/full
http://www.ncbi.nlm.nih.gov/pubmed/36853224?tool=bestpractice.com
[38]Rohner K, Marlais M, Ahn YH, et al. Outcome of immunosuppression in children with IgA vasculitis-related nephritis. Nephrol Dial Transplant. 2024 Jul 31;39(8):1299-309.
https://academic.oup.com/ndt/article/39/8/1299/7517078
http://www.ncbi.nlm.nih.gov/pubmed/38211969?tool=bestpractice.com
The SHARE (Single Hub and Access point for paediatric Rheumatology in Europe) guideline recommends cyclophosphamide first line for remission induction.[29]Ozen S, Marks SD, Brogan P, et al. European consensus-based recommendations for diagnosis and treatment of immunoglobulin A vasculitis - the SHARE initiative. Rheumatology (Oxford). 2019 Sep 1;58(9):1607-16.
https://www.doi.org/10.1093/rheumatology/kez041
http://www.ncbi.nlm.nih.gov/pubmed/30879080?tool=bestpractice.com
Azathioprine, a calcineurin inhibitor, or mycophenolate may be used as second-line options.[29]Ozen S, Marks SD, Brogan P, et al. European consensus-based recommendations for diagnosis and treatment of immunoglobulin A vasculitis - the SHARE initiative. Rheumatology (Oxford). 2019 Sep 1;58(9):1607-16.
https://www.doi.org/10.1093/rheumatology/kez041
http://www.ncbi.nlm.nih.gov/pubmed/30879080?tool=bestpractice.com
[33]UK Kidney Association. The management of complications associated with IgA vasculitis (Henoch Schönlein Purpura) in children and young people. Dec 2022 [internet publication].
https://www.ukkidney.org/about-us/news/iga-vasculitis-guideline-rcpch-endorsed
Once remission is achieved with induction therapy, maintenance therapy is recommended. Azathioprine, a calcineurin inhibitor, or mycophenolate may be used in combination with an low-dose oral corticosteroid for maintenance treatment.[29]Ozen S, Marks SD, Brogan P, et al. European consensus-based recommendations for diagnosis and treatment of immunoglobulin A vasculitis - the SHARE initiative. Rheumatology (Oxford). 2019 Sep 1;58(9):1607-16.
https://www.doi.org/10.1093/rheumatology/kez041
http://www.ncbi.nlm.nih.gov/pubmed/30879080?tool=bestpractice.com
[33]UK Kidney Association. The management of complications associated with IgA vasculitis (Henoch Schönlein Purpura) in children and young people. Dec 2022 [internet publication].
https://www.ukkidney.org/about-us/news/iga-vasculitis-guideline-rcpch-endorsed
There is a lack of evidence regarding duration of induction and maintenance phases, weaning of treatment, and monitoring treatment response. Expert supervision is required.
An ACE inhibitor or angiotensin-II receptor antagonist should be added in cases of persistent proteinuria.[7]Oni L, Sampath S. Childhood IgA vasculitis (Henoch Schonlein purpura) - advances and knowledge gaps. Front Pediatr. 2019 Jun 27;7:257.
https://www.doi.org/10.3389/fped.2019.00257
http://www.ncbi.nlm.nih.gov/pubmed/31316952?tool=bestpractice.com
[29]Ozen S, Marks SD, Brogan P, et al. European consensus-based recommendations for diagnosis and treatment of immunoglobulin A vasculitis - the SHARE initiative. Rheumatology (Oxford). 2019 Sep 1;58(9):1607-16.
https://www.doi.org/10.1093/rheumatology/kez041
http://www.ncbi.nlm.nih.gov/pubmed/30879080?tool=bestpractice.com
[33]UK Kidney Association. The management of complications associated with IgA vasculitis (Henoch Schönlein Purpura) in children and young people. Dec 2022 [internet publication].
https://www.ukkidney.org/about-us/news/iga-vasculitis-guideline-rcpch-endorsed
Renal transplant may be required in patients who progress to end-stage renal disease; the risk of relapse in the graft is low.[41]Kanaan N, Mourad G, Thervet E, et al. Recurrence and graft loss after kidney transplantation for henoch-schonlein purpura nephritis: a multicenter analysis. Clin J Am Soc Nephrol. 2011 Jul;6(7):1768-72.
https://www.doi.org/10.2215/CJN.00520111
http://www.ncbi.nlm.nih.gov/pubmed/21734091?tool=bestpractice.com
Other organ involvement
The skin rash of IgAV can be managed conservatively in the majority of cases. A topical corticosteroid may be used for dermatological manifestations.
Joint pain can be treated with either paracetamol or a non-steroidal anti-inflammatory drug (NSAID) such as ibuprofen (considered equally efficacious); mild to moderate abdominal pain can be managed with paracetamol, rest, and supportive care.[31]UK Kidney Association. The initial management of IgA vasculitis (Henoch Schönlein Purpura) in children and young people. Dec 2022 [internet publication].
https://www.ukkidney.org/about-us/news/iga-vasculitis-guideline-rcpch-endorsed
Concerns about renal toxicity, cardiovascular events, and GI bleeding often limit the use of NSAIDs, and they should not be used first line for pain management in patients with IgAV. NSAIDs should be used at the lowest effective dose for the shortest duration possible.
Patients with severe rash (such as skin blistering or necrotic areas), moderate to severe GI involvement, or orchitis are likely to respond to a short course of corticosteroid treatment and/or immunosuppressant.[33]UK Kidney Association. The management of complications associated with IgA vasculitis (Henoch Schönlein Purpura) in children and young people. Dec 2022 [internet publication].
https://www.ukkidney.org/about-us/news/iga-vasculitis-guideline-rcpch-endorsed
[42]Reamy BV, Servey JT, Williams PM. Henoch-Schönlein purpura (IgA vasculitis): rapid evidence review. Am Fam Physician. 2020 Aug 15;102(4):229-33.
http://www.ncbi.nlm.nih.gov/pubmed/32803924?tool=bestpractice.com
[43]Silva CA, Cocuzza M, Borba EF, et al. Cutting-edge issues in autoimmune orchitis. Clin Rev Allergy Immunol. 2012 Apr;42(2):256-63.
http://www.ncbi.nlm.nih.gov/pubmed/21842235?tool=bestpractice.com
[44]Abu-Zaid MH, Salah S, Lotfy HM, et al. Consensus evidence-based recommendations for treat-to-target management of immunoglobulin A vasculitis. Ther Adv Musculoskelet Dis. 2021 Dec 9:13:1759720X211059610.
https://pmc.ncbi.nlm.nih.gov/articles/PMC8669874
http://www.ncbi.nlm.nih.gov/pubmed/34917176?tool=bestpractice.com
In practice, immunosuppressants are rarely required for children without nephritis, and there is very little evidence to guide choice of treatment. Expert consultation is recommended.
Corticosteroids are not recommended for musculoskeletal involvement, because one study found that corticosteroid treatment did not reduce the duration of musculoskeletal symptoms.[31]UK Kidney Association. The initial management of IgA vasculitis (Henoch Schönlein Purpura) in children and young people. Dec 2022 [internet publication].
https://www.ukkidney.org/about-us/news/iga-vasculitis-guideline-rcpch-endorsed
Severe vasculitis
There is some evidence to suggest that patients with severe IgAV nephritis have more severe extrarenal symptoms.[8]Jauhola O, Ronkainen J, Koskimies O, et al. Clinical course of extrarenal symptoms in Henoch-Schonlein purpura: a 6-month prospective study. Arch Dis Child. 2010 Nov;95(11):871-6.
https://adc.bmj.com/content/95/11/871.long
http://www.ncbi.nlm.nih.gov/pubmed/20371584?tool=bestpractice.com
In any case of severe extrarenal symptoms such as organ or life-threatening vasculitis (including cerebral vasculitis, or pulmonary haemorrhage), hospital admission, intravenous corticosteroids, and immunosuppressants are recommended.[29]Ozen S, Marks SD, Brogan P, et al. European consensus-based recommendations for diagnosis and treatment of immunoglobulin A vasculitis - the SHARE initiative. Rheumatology (Oxford). 2019 Sep 1;58(9):1607-16.
https://www.doi.org/10.1093/rheumatology/kez041
http://www.ncbi.nlm.nih.gov/pubmed/30879080?tool=bestpractice.com
In severe, immediately life-threatening disease, plasmapheresis may be considered; however, the lack of a causative antibody may make active monitoring more challenging than in other forms of vasculitis.[37]Kidney Disease: Improving Global Outcomes (KDIGO) Glomerular Diseases Work Group. KDIGO 2021 clinical practice guideline for the management of glomerular diseases. Kidney Int. 2021 Oct;100(4S):S1-276.
https://kdigo.org/guidelines/gd
[45]Nguyen B, Acharya C, Tangpanithandee S, et al. Efficacy and safety of plasma exchange as an adjunctive therapy for rapidly progressive IgA nephropathy and Henoch-Schönlein Purpura nephritis: a systematic review. Int J Mol Sci. 2023 Feb 16;24(4):3977.
https://pmc.ncbi.nlm.nih.gov/articles/PMC9958587
http://www.ncbi.nlm.nih.gov/pubmed/36835388?tool=bestpractice.com
Evidence on the use of plasmapheresis in patients with IgAV is limited. One systematic review assessed the use of plasmapheresis in patients with IgAV and rapidly progressive glomerulonephritis. In the included case reports and case series, 76.3% (29/38 patients) achieved remission and 23.6% (9/38 patients) progressed to end-stage kidney disease.[45]Nguyen B, Acharya C, Tangpanithandee S, et al. Efficacy and safety of plasma exchange as an adjunctive therapy for rapidly progressive IgA nephropathy and Henoch-Schönlein Purpura nephritis: a systematic review. Int J Mol Sci. 2023 Feb 16;24(4):3977.
https://pmc.ncbi.nlm.nih.gov/articles/PMC9958587
http://www.ncbi.nlm.nih.gov/pubmed/36835388?tool=bestpractice.com
Case series also suggest plasmapheresis may be beneficial for patients with life- or organ-threatening extrarenal complications of IgAV.[37]Kidney Disease: Improving Global Outcomes (KDIGO) Glomerular Diseases Work Group. KDIGO 2021 clinical practice guideline for the management of glomerular diseases. Kidney Int. 2021 Oct;100(4S):S1-276.
https://kdigo.org/guidelines/gd
[46]Augusto JF, Sayegh J, Delapierre L, et al. Addition of plasma exchange to glucocorticosteroids for the treatment of severe Henoch-Schönlein purpura in adults: a case series. Am J Kidney Dis. 2012 May;59(5):663-9.
https://linkinghub.elsevier.com/retrieve/pii/S0272-6386(12)00008-X
http://www.ncbi.nlm.nih.gov/pubmed/22300649?tool=bestpractice.com
In cases of severe abdominal pain or rectal bleeding, complications such as intestinal intussusception must be excluded.[33]UK Kidney Association. The management of complications associated with IgA vasculitis (Henoch Schönlein Purpura) in children and young people. Dec 2022 [internet publication].
https://www.ukkidney.org/about-us/news/iga-vasculitis-guideline-rcpch-endorsed
Relapsed/refractory disease
Relapsing/refractory disease is rare, and there is limited evidence for management.[33]UK Kidney Association. The management of complications associated with IgA vasculitis (Henoch Schönlein Purpura) in children and young people. Dec 2022 [internet publication].
https://www.ukkidney.org/about-us/news/iga-vasculitis-guideline-rcpch-endorsed
Consult a specialist for guidance on managing children with relapsing/refractory disease.
Adverse effects associated with immunosuppressant therapy
Corticosteroids and immunosuppressants are associated with numerous adverse effects, including some serious adverse effects. The risks and benefits of treatment should be assessed before starting treatment. Patients should be closely monitored during treatment.
Corticosteroids
Long-term corticosteroid therapy may be associated with serious adverse effects including growth retardation, adrenal suppression, Cushing syndrome, glaucoma, cataracts, increased risk of infection, osteoporosis, and osteonecrosis. Cardiovascular, GI, and neuropsychiatric adverse effects are also possible. Preventative measures should be taken where possible (e.g., gastroprotection, bone protection, Pneumocystis pneumonia prophylaxis). Monitor growth velocity in children.
Cyclophosphamide
Cyclophosphamide may be associated with bone marrow suppression, pulmonary toxicity, hepatotoxicity, haemorrhagic cystitis, and an increased risk of infections and malignancy. Doses should be taken in the morning with increased fluid intake to prevent haemorrhagic cystitis; mesna may be prescribed in some patients, if appropriate.
Azathioprine
Azathioprine may be associated with GI adverse effects, dose-related haematological toxicities, hepatotoxicity, pancreatitis, and an increased risk of infections or malignancy.
Mycophenolate
Mycophenolate may be associated with GI adverse effects, bone marrow suppression, haematological toxicities, and an increased risk of infections and malignancy.
Calcineurin inhibitors
Calcineurin inhibitors may be associated with nephrotoxicity, neurotoxicity, hepatotoxicity, gingival hyperplasia, hypertension, and an increased risk of infections and malignancy. Serum drug monitoring is recommended.