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Azathioprine, also known by the brand name Imuran, is a medication primarily prescribed to prevent organ rejection following a kidney transplant and to treat rheumatoid arthritis. As an immunosuppressant, it functions by reducing the activity of the immune system. This is crucial after a kidney transplant to prevent the body from rejecting the new organ. In the case of rheumatoid arthritis, it helps in minimizing immune system attacks on the joints, thereby reducing further damage. Although effective, azathioprine is not typically the first choice due to potential side effects. It's important to discuss the risks and benefits of using azathioprine with your healthcare provider, especially for children and young adults. Always consult with your doctor, nurse, or pharmacist before starting any new medication to ensure it is safe and appropriate for your condition.