TPMT and NUDT15 to Thiopurine Starting Dose (CPIC)

CPIC's starting-dose recommendation for mercaptopurine, azathioprine or thioguanine, from the TPMT and NUDT15 phenotypes.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Drug
Azathioprine
TPMT phenotype on the report
Poor Metabolizer
NUDT15 phenotype on the report
Normal Metabolizer

Result: azathioprine, TPMT Poor Metabolizer, NUDT15 Normal Metabolizer: CPIC (Strong): "Consider alternative nonthiopurine immunosuppressant therapy."

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • Drug
  • TPMT phenotype on the report
  • NUDT15 phenotype on the report
How this is calculated

Citation

CPIC TPMT, NUDT15 and Thiopurines guideline, read through the CPIC database (CC0 1.0): the combined TPMT and NUDT15 recommendation rows for mercaptopurine, azathioprine and thioguanine. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.