section name header

Pronunciation

mye-koe-FEE-noe-late MOE-fe-til

mycophenolic acid: mye-koe-FEE-noe-lik

Indications

REMS

Mycophenolate mofetil:

Mycophenolic acid:

Unlabeled Use:

Action

Therapeutic Effects:

Pharmacokinetics

Absorption: Following oral and IV administration, mycophenolate mofetil is rapidly hydrolyzed to mycophenolic acid (MPA), the active metabolite. Absorption of enteric-coated mycophenolic acid (Myfortic) is delayed compared with mycophenolate mofetil (CellCept).

Distribution: Cross the placenta and enter breast milk.

Protein Binding: MPA — 97%.

Metabolism/Excretion: MPA is extensively metabolized; <1% excreted unchanged in urine. Some enterohepatic recirculation of MPA occurs.

Half-life: MPA — 8–18 hr.

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

CV: edema, hypertension, hypotension, tachycardia.

Derm: rash.

Endo: hypercholesterolemia, hyperglycemia, hyperkalemia, hypocalcemia, hypokalemia, hypomagnesemia.

GI: GI BLEEDING, anorexia, constipation, diarrhea, nausea, vomiting, abdominal pain.

GU: renal dysfunction.

Hemat: leukocytosis, leukopenia, thrombocytopenia, anemia, pure red cell aplasia.

Neuro: tremor, PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY (PML), anxiety, confusion, dizziness, headache, insomnia, paresthesia, sedation, tremor.

Resp: cough, dyspnea.

Misc: MALIGNANCY, fever, infection (including activation of latent viral infections such as Polyomavirus-associated nephropathy or Hepatitis B/C).

Interactions

Drug-Drug:

Route/Dosage

Mycophenolate Mofetil

Renal Transplantation

Renal Impairment

Mycophenolic Acid

Mycophenolate mofetil and mycophenolic acid should not be used interchangeably without the advice of a health care professional.

Renal Transplantation

Implementation

US Brand Names

CellCept

mycophenolic acid: Myfortic

Classifications

Therapeutic Classification: Immunosuppressant agents

Availability

(Generic available)

Mycophenolate Mofetil

Mycophenolic Acid

Time/Action Profile

(blood levels of MPA)

ROUTEONSETPEAKDURATION
mycophenolate mofetil-POrapid0.25–1.25 hrN/A
mycophenolic acidrapid1.5–2.75 hrN/A

Assessment

Lab Test Considerations:

Patient/Family Teaching

Evaluation/Desired Outcomes

Code

NDC Code*