Before Using

Drug information provided by: Merative, Micromedex®

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of mycophenolate capsules, suspension, or tablets in children receiving kidney transplants. However, safety and efficacy have not been established in infants younger than 3 months of age.

Appropriate studies have not been performed on the relationship of age to the effects of mycophenolate capsules, suspension, or tabletsin children receiving heart or liver transplants. Safety and efficacy have not been established.

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of mycophenolate delayed-release tablets in children receiving kidney transplants. However, safety and efficacy have not been established in children younger than 5 years of age.

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of mycophenolate suspension in children receiving kidney, heart, or liver transplants. However, safety and efficacy have not been established in infants younger than 3 months of age.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of mycophenolate in the elderly. However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require caution and an adjustment in the dose for patients receiving mycophenolate.

Breastfeeding

Studies in women breastfeeding have demonstrated harmful infant effects. An alternative to this medication should be prescribed or you should stop breastfeeding while using this medicine.

Drug Interactions

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Acyclovir
  • Adenovirus Vaccine, Live
  • Adenovirus Vaccine Type 4, Live
  • Adenovirus Vaccine Type 7, Live
  • Aluminum Carbonate, Basic
  • Aluminum Hydroxide
  • Aluminum Phosphate
  • Amoxicillin
  • Azathioprine
  • Bacillus of Calmette and Guerin Vaccine, Live
  • Cholera Vaccine, Live
  • Cholestyramine
  • Ciprofloxacin
  • Clavulanic Acid
  • Colesevelam
  • Colestilan
  • Colestipol
  • Cyclosporine
  • Dengue Tetravalent Vaccine, Live
  • Desogestrel
  • Dexlansoprazole
  • Dienogest
  • Dihydroxyaluminum Aminoacetate
  • Dihydroxyaluminum Sodium Carbonate
  • Drospirenone
  • Ebola Zaire Vaccine, Live
  • Esomeprazole
  • Estetrol
  • Estradiol
  • Ethinyl Estradiol
  • Ethynodiol
  • Etonogestrel
  • Ferric Citrate
  • Ganciclovir
  • Gestodene
  • Influenza Virus Vaccine, Live
  • Isavuconazonium Sulfate
  • Lansoprazole
  • Lanthanum Carbonate
  • Levonorgestrel
  • Magaldrate
  • Magnesium Carbonate
  • Magnesium Hydroxide
  • Magnesium Oxide
  • Measles Virus Vaccine, Live
  • Medroxyprogesterone
  • Mercaptopurine
  • Mestranol
  • Metronidazole
  • Mumps Virus Vaccine, Live
  • Nomegestrol
  • Norelgestromin
  • Norethindrone
  • Norfloxacin
  • Norgestimate
  • Norgestrel
  • Omeprazole
  • Pantoprazole
  • Poliovirus Vaccine, Live
  • Probenecid
  • Rabeprazole
  • Rifampin
  • Rotavirus Vaccine, Live
  • Rubella Virus Vaccine, Live
  • Segesterone
  • Sevelamer
  • Sevelamer Carbonate
  • Sevelamer Hydrochloride
  • Smallpox Monkeypox Vaccine, Live Non-Replicating
  • Smallpox Vaccine
  • Sucroferric Oxyhydroxide
  • Sulfamethoxazole
  • Tacrolimus
  • Telmisartan
  • Trimethoprim
  • Typhoid Vaccine, Live
  • Ulipristal
  • Valacyclovir
  • Valganciclovir
  • Varicella Virus Vaccine, Live
  • Yellow Fever Vaccine
  • Zoster Vaccine, Live

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Iron

Other Interactions

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

  • Bone marrow problems (eg, neutropenia) or
  • Hepatitis B or C infection or
  • Stomach or bowel problems (eg, ulcers, bleeding)—Use with caution. May make these conditions worse.
  • Infection (eg, bacteria, fungus, or virus), active—May decrease your body's ability to fight an infection.
  • Kelley-Seegmiller syndrome (rare genetic disease) or
  • Lesch-Nyhan syndrome (rare genetic disease)—Should not be used in patients with these conditions.
  • Kidney disease, severe—Use with caution. The effects may be increased because of slower removal of the medicine from the body.
  • Phenylketonuria (PKU)—The oral suspension contains aspartame (phenylalanine), which can make this condition worse.

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Portions of this document last updated: July 01, 2024

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