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MYCOPHENOLATE MOFETIL (mycophenolate mofetil)
- Prevention of cardiac transplant rejection
- Prevention of kidney transplant rejection
- Prevention of liver transplant rejection
- Mycophenolate Mofetil Tablet
- Mycophenolate Mofetil Oral Suspension
- Mycophenolate Mofetil Capsule
- Cellcept Tablet
- Cellcept Oral Suspension
- Cellcept Capsule
- By Indication
500 mg tablet
- 3 tablets (1,500 mg) by oral route 2 times per day
200 mg/mL oral suspension
- 7.5 milliliters (1,500 mg) by oral route 2 times per day
250 mg capsule
- 6 capsules (1,500 mg) by oral route 2 times per day
500 mg tablet
- 3 tablets (1,500 mg) by oral route 2 times per day
200 mg/mL oral suspension
- 7.5 milliliters (1,500 mg) by oral route 2 times per day
250 mg capsule
- 6 capsules (1,500 mg) by oral route 2 times per day
Prevention of cardiac transplant rejection
- 6 capsules (1,500 mg) by oral route 2 times per day
- 3 tablets (1,500 mg) by oral route 2 times per day
- 7.5 milliliters (1,500 mg) by oral route 2 times per day
Prevention of kidney transplant rejection
- 2 tablets (1,000 mg) by oral route 2 times per day
- 5 milliliters (1,000 mg) by oral route 2 times per day
- 4 capsules (1,000 mg) by oral route 2 times per day
- 6 capsules (1,500 mg) by oral route 2 times per day
- 3 tablets (1,500 mg) by oral route 2 times per day
- 7.5 milliliters (1,500 mg) by oral route 2 times per day
Prevention of liver transplant rejection
- 6 capsules (1,500 mg) by oral route 2 times per day
- 3 tablets (1,500 mg) by oral route 2 times per day
- 7.5 milliliters (1,500 mg) by oral route 2 times per day
- adenovirus vac live type-4 & 7
- adenovirus vaccine live type-4
- adenovirus vaccine live type-7
- BCG vaccine, live (PF)
- flu vac,qval 2013-14 (2-49yrs)
- Flumist 2013-2014
- M-m-r Ii (pf)
- measles,mumps&rubella vacc(PF)
- measles,mumps,rub,varicel(PF)
- natalizumab
- Proquad (pf)
- Rotateq Vaccine
- rotavirus vaccine live, penta
- typhoid vaccine
- Tysabri
- varicella virus vacc live (PF)
- Varivax (pf)
- Vivotif Berna Vaccine
- yellow fever vaccine live (PF)
- Yf-vax (pf)
- Zostavax (pf)
- zoster vaccine live (PF)
Contraindicated
- Aciphex
- Aciphex Sprinkle
- Altavera (28)
- Alyacen 1/35 (28)
- Alyacen 7/7/7 (28)
- Amethia
- Amethia Lo
- Amethyst
- amoxicil-clarithromy-lansopraz
- Apri
- Aranelle (28)
- Aubra
- Aviane
- Azurette (28)
- Balziva (28)
- Beyaz
- Brevicon (28)
- Briellyn
- Camila
- Camrese
- Camrese Lo
- Caziant (28)
- Chateal
- cholestyramine (with sugar)
- Cholestyramine Light
- cholestyramine-aspartame
- clozapine
- Clozaril
- colesevelam
- Colestid
- Colestid Flavored
- colestipol
- Cryselle (28)
- Cyclafem 1/35 (28)
- Cyclafem 7/7/7 (28)
- Cyclessa (28)
- Dasetta 1/35 (28)
- Dasetta 7/7/7 (28)
- Daysee
- deferiprone
- Depo-provera
- Depo-subq Provera 104
- desog-e.estradiol/e.estradiol
- Desogen
- desogestrel-ethinyl estradiol
- Dexilant
- dexlansoprazole
- drospirenone-e.estradiol-lm.FA
- drospirenone-ethinyl estradiol
- Elinest
- Emoquette
- Enpresse
- Enskyce
- Errin
- esomeprazole magnesium
- esomeprazole sodium
- esomeprazole strontium
- Estarylla
- estradiol valerate-dienogest
- Estrostep Fe-28
- ethynodiol diac-eth estradiol
- etonogestrel
- etonogestrel-ethinyl estradiol
- Falmina (28)
- Fazaclo
- Femcon Fe
- Ferriprox
- First-lansoprazole
- First-omeprazole
- Generess Fe
- Gianvi (28)
- Gildagia
- Gildess
- Gildess Fe
- Heartburn Relief 24 Hour
- Heartburn Treatment 24 Hour
- Heather
- Introvale
- isoniazid-rifamp-pyrazinamide
- Jencycla
- Jolessa
- Jolivette
- Junel 1.5/30 (21)
- Junel 1/20 (21)
- Junel Fe 1.5/30 (28)
- Junel Fe 1/20 (28)
- Kariva (28)
- Kelnor 1/35 (28)
- Kurvelo
- L norgest&E estradiol-E estrad
- lansoprazole
- Larin 1/20 (21)
- Larin Fe
- Leena 28
- Lessina
- Levonest (28)
- levonorg-eth estrad triphasic
- levonorgestrel
- levonorgestrel-ethinyl estrad
- Levora 0.15/30 (28)
- Levora-28
- Lo Loestrin Fe
- Loestrin 1.5/30 (21)
- Loestrin 1/20 (21)
- Loestrin Fe 1.5/30 (28)
- Loestrin Fe 1/20 (28)
- Lomedia 24 Fe
- Loryna (28)
- Loseasonique
- Low-ogestrel (28)
- Lutera (28)
- Lyza
- Marlissa
- medroxyprogesterone
- Microgestin 1.5/30 (21)
- Microgestin 1/20 (21)
- Microgestin Fe 1.5/30 (28)
- Microgestin Fe 1/20 (28)
- Minastrin 24 Fe
- Mircette (28)
- Mirena
- Modicon (28)
- Mono-linyah
- Mononessa (28)
- My Way
- Myzilra
- naproxen-esomeprazole
- Natazia
- Necon 0.5/35 (28)
- Necon 1/35 (28)
- Necon 1/50 (28)
- Necon 10/11 (28)
- Necon 7/7/7 (28)
- Nexium
- Nexium Iv
- Nexium Packet
- Nexplanon
- Next Choice One Dose
- Nor-qd
- Nora-be
- norelgestrom-ethinyl estradiol
- noreth-ethinyl estradiol-iron
- norethin-e.estradiol triphasic
- norethin-eth estrad biphasic
- norethindrone (contraceptive)
- norethindrone ac-eth estradiol
- norethindrone-e.estradiol-iron
- norethindrone-ethin estradiol
- norethindrone-mestranol
- norgestimate-ethinyl estradiol
- norgestrel-ethinyl estradiol
- Norinyl 1+35 (28)
- Norinyl 1+50 (28)
- Nortrel 0.5/35 (28)
- Nortrel 1/35 (21)
- Nortrel 1/35 (28)
- Nortrel 7/7/7 (28)
- Nuvaring
- Ocella
- Ogestrel (28)
- Omeclamox-pak
- omeprazole
- omeprazole magnesium
- Omeprazole+syrspend Sf Alka
- omeprazole-clarith-amoxicillin
- omeprazole-sodium bicarbonate
- Orsythia
- Ortho Evra
- Ortho Micronor
- Ortho Tri-cyclen (28)
- Ortho Tri-cyclen Lo (28)
- Ortho-cept (28)
- Ortho-cyclen (28)
- Ortho-novum 1/35 (28)
- Ortho-novum 7/7/7 (28)
- Ovcon-35 (28)
- pantoprazole
- Philith
- Pimtrea (28)
- Pirmella
- Plan B One-step
- Portia
- Prevacid
- Prevacid 24Hr
- Prevacid Solutab
- Prevalite
- Previfem
- Prevpac
- Prilosec
- Prilosec Otc
- Protonix
- Quartette
- Quasense
- Questran
- Questran Light
- rabeprazole
- Reclipsen (28)
- Rifadin
- Rifamate
- rifampin
- rifampin-isoniazid
- Rifater
- Safyral
- Seasonique
- Skyla
- Sprintec (28)
- Sronyx
- Syeda
- Tilia Fe
- Tri-estarylla
- Tri-legest Fe
- Tri-linyah
- Tri-norinyl (28)
- Tri-previfem (28)
- Tri-sprintec (28)
- Trinessa (28)
- Trivora (28)
- Velivet Triphasic Regimen (28)
- Versacloz
- Vestura (28)
- Vimovo
- Viorele (28)
- Vyfemla (28)
- Welchol
- Wera (28)
- Wymzya Fe
- Yasmin (28)
- Yaz 28
- Zarah
- Zegerid
- Zegerid Otc
- Zenchent (28)
- Zenchent Fe
- Zeosa
- Zovia 1/35E (28)
- Zovia 1/50E (28)
Severe
Moderate
- Acid Gone
- Acid Gone Antacid
- Advanced Antacid-antigas
- Al hyd-Mg tr-alg ac-sod bicarb
- Almacone
- Almacone-2
- alum-mag hydroxide-simeth
- aluminum hydrox-magnesium carb
- aluminum hydroxide gel
- aluminum-magnesium hydroxide
- Antacid
- Antacid Anti-gas
- Antacid Anti-gas Double Str
- Antacid Extra Strength
- Antacid Extra-strength
- Antacid Ii Plus Simethicone
- Antacid Liquid
- Antacid M
- Antacid Maximum Strength
- Antacid Multi-symptom
- Antacid Plus Anti-gas
- Antacid Plus Extra Strength
- Antacid Regular Strength
- Antacid Supreme
- Antacid Tablet
- Antacid With Simethicone
- Antacid-antigas
- Antacid-antigas Ii
- Antacid-simethicone
- Antacid-simethicone Ds
- ASA-acetaminophen-caff-buffers
- aspirin, buffered
- Bayer Plus Extra Strength
- cal phos-mag hydrx-C & D3-phos
- calcium carb-mag hydrox-simeth
- calcium carbonate-mag hydroxid
- Comfort Gel
- Comfort Gel Extra Strength
- diosmin complex no.1
- Flanax
- Foaming Antacid
- Foaming Antacid Extra Strength
- Fosrenol
- Gaviscon
- Gaviscon Extra Strength
- Gelusil Antacid & Anti-gas
- Geri-lanta
- Geri-mox Antacid-antigas
- Heartburn Antacid
- lanthanum
- Liquid Antacid
- Maalox Advanced
- Maalox Maximum Strength
- Mag-al
- Mag-al Plus
- Mag-al Plus Extra Strength
- Maglox
- magnesium hydroxide
- magnesium-aluminum-alginic ac
- Masanti Double Strength
- Mi-acid
- Milk Of Magnesia
- Milk Of Magnesia Concentrated
- Mintox
- Mintox Maximum Strength
- Mintox Plus
- Pedia-lax
- Phillips Milk Of Magnesia
- Pro-cal
- Renagel
- Renvela
- Ri-gel
- Ri-gel Ii
- Ri-mox
- Ri-mox Plus
- Riginic
- Rulox
- sevelamer carbonate
- sevelamer HCl
- Supreme Antacid
- Vanquish
- Vasculera
- BK polyomavirus reactivation nephropathy
- Hypoxanthine-guanine phosphoribosyltransferase deficient
- Lactating mother
- Progressive multifocal leukoencephalopathy
- Severe neutropenic disorder
Contraindicated
- Chronic kidney disease stage 4 (severe) GFR 15-29 ml/min
- Chronic kidney disease stage 5 (failure) GFr<15 ml/min
- Cytomegalovirus disease
- Gastrointestinal hemorrhage
- Gastrointestinal perforation
- Herpes simplex infection
- Herpes zoster in immunocompromised patients
- Malignancy
- Malignant lymphoma
- Malignant neoplasm of skin
- Neutropenic disorder
- Opportunistic fungal infection
- Pregnancy
- Pure red cell aplasia
- Severe infection
Severe
Moderate
- Bone marrow depression
- Disease of liver
- Gastrointestinal ulcer
MYCOPHENOLATE MOFETIL (mycophenolate mofetil)
- Prevention of cardiac transplant rejection
- Prevention of kidney transplant rejection
- Prevention of liver transplant rejection
- Anemia
- Chest pain
- Cough
- Hematuria
- Hypertension
- Infection
- Leukocytosis
- Leukopenia
- Oral candidiasis
- Peripheral edema
- Upper respiratory infection
- Constipation
- Diarrhea
- Dyspepsia
- Dyspnea
- Headache disorder
- Hyperglycemia
- Nausea
- Postoperative acute pain
- Symptoms of anxiety
- Tachycardia
- Urinary tract infection
- Vomiting
More Frequent
Severe
Less Severe
- Arthralgias
- Colitis
- Fever
- Gastrointestinal hemorrhage
- Hypothyroidism
- Neutropenic disorder
- Opportunistic fungal infection
- Abdominal distension
- Acute abdominal pain
- Back pain
- Cramps in legs
- Depression
- Dizziness
- Ecchymosis
- Insomnia
- Pharyngitis
- Skin rash
- Tinnitus
- Visual changes
Less Frequent
Severe
Less Severe
Rare / Very Rare
Severe
- Active tuberculosis
- Acute pancreatitis
- Acute renal failure
- Agranulocytosis
- Atypical mycobacterial infection
- Bacterial sepsis
- BK polyomavirus reactivation nephropathy
- Cardiac arrhythmia
- Cytomegalovirus disease
- Diarrhea with villous atrophy of the intestine
- Gastrointestinal perforation
- Gastrointestinal ulcer
- Hepatitis
- Hypersensitivity drug reaction
- Hypogammaglobulinemia
- Impaired wound healing
- Interstitial lung disease
- Kaposi's sarcoma
- Lymphadenopathy
- Lymphocele
- Lymphopenia
- Malignant lymphoma
- Meningitis
- Neoplasm
- Osteomyelitis
- Osteoporosis
- Pancytopenia
- Peritonitis
- Post-transplant lymphoproliferative disease
- Progressive multifocal leukoencephalopathy
- Protozoal infection
- Pulmonary edema
- Pulmonary fibrosis
- Pure red cell aplasia
- Reactivation of hepatitis B
- Reactivation of hepatitis C
- Thrombocytopenic disorder
- Tremor
- Urinary retention
- Venous thrombosis
- Viral infection
Less Severe
- Anorexia
- Basal cell carcinoma of skin
- Bronchiectasis
- Gastritis
- General weakness
- Hypotension
- Pruritus of skin
- Wheezing
- Xerostomia
Contraindicated
None
Severe Precaution
None
Management or Monitoring Precaution
Mycophenolate
Increased rate of infection, leukopenia, anemia. Rare risk of lymphoproliferative disease reported possibly related to overall immunosuppression.
- 1 Day – 18 Years
- Increased rate of infection, leukopenia, anemia. Rare risk of lymphoproliferative disease reported possibly related to overall immunosuppression.
Mycophenolate
- Severity Level:
D
- Additional Notes: Use during first trimester is associated with pregnancy loss.
Contraindicated
Mycophenolate
Contraindicated per briggs, insufficient data available
| General | Excretion Potential | Effect on Infant | Notes |
| Drug should not be given to breast feeding mothers | Unknown | Not known; no or inclusive data | Contraindicated per briggs, insufficient data available |
Precaution Exists
None
| General | Excretion Potential | Effect on Infant | Notes |
| None |
No Known Risk
None
| General | Excretion Potential | Effect on Infant | Notes |
| None |
Contraindicated
None
Precaution Exists
Mycophenolate
General-Geriatrics may be at increased risk for tissue invasive CMV disease. Gastrointestinal-Possible increased risk for GI hemorrhage. Pulmonary-Possible increased risk for pulmonary edema.
| Organ / System | HEP | REN | CARD | ENDO | NEURO / PSYCH | PULM |
| Increased Risk / Adverse Effects | N | N | N | N | Y | N |
BEERS: N HEDIS: N STOPP: N
No Known Risk
None
- Mycophenolate may lower your ability to fight infections. This may make you more likely to get a serious (rarely fatal) infection or make any infection you have worse. Tell your doctor right away if you have any signs of infection (such as sore throat that doesn't go away, fever, chills, cough, burning/painful/urgent urination, change in the amount of urine).<br /><br /> Mycophenolate may rarely cause cancer (such as lymphoma, skin cancer). Protect your skin from the sun. Avoid prolonged sun exposure, tanning booths, and sunlamps.<br /><br />Use a sunscreen and wear protective clothing when outdoors. Tell your doctor right away if you have any of the following symptoms of cancer: swollen glands, sudden weight loss, night sweats, change in appearance or size of moles, or unusual skin changes/growth. Mycophenolate may harm an unborn baby.<br /><br />When using mycophenolate, all males - and all women of childbearing age - must use reliable forms of birth control. See also Precautions section.
| Prevention of cardiac transplant rejection | |
| Z94.1 | Heart transplant status |
| Z94.3 | Heart and lungs transplant status |
| Prevention of kidney transplant rejection | |
| Z94.0 | Kidney transplant status |
| Prevention of liver transplant rejection | |
| Z94.4 | Liver transplant status |
| 0-9 | A-Z |
|---|---|
| Z94.0 | Kidney transplant status |
| Z94.1 | Heart transplant status |
| Z94.3 | Heart and lungs transplant status |
| Z94.4 | Liver transplant status |
Formulary Reference Tool