It is usually taken twice a day on an empty stomach (1 hour before or 2 hours after eating or drinking), unless your doctor tells you otherwise. Your healthcare professional will store the powder and intravenous solution. These lists dont include all possible side effects that may occur with each drug. If you take birth control pills, talk with your doctor before using CellCept. However, its important to note that you should avoid eating at least 1 hour before and 2 hours after taking CellCept in most cases. To learn about using Prograf in children, talk with your childs doctor. Tell your doctor if you have: Increased risk of getting serious infections. You should understand how the drug affects you before driving. CellCept is metabolized (broken down) in the body by a process called glucuronidation. Therefore, this information was not gathered in a clinical study overseen by researchers. If youre interested in finding an alternative to CellCept, talk with your doctor. They can discuss with you the risks and benefits of continuing your CellCept treatment. A generic drug is an exact copy of the active drug in a brand-name medication. The percentage of adults who had an infection after taking these drugs varied depending on the type of infection and the condition being treated. CellCept Oral Suspension should not be mixed with any type of liquids before taking the dose. The recommended oral dosages in children are as follows: If you miss a dose of CellCept, take your missed dose as soon as you remember. These include: Note: For more information about the potential negative effects of CellCept, see the CellCept side effects section above. It can be prescribed after a heart, kidney, or liver transplant in combination with other immunosuppressant drugs. Its important to note that your childs results may vary from those seen in clinical trials. (Azathioprine is an antirejection drug like CellCept. The results showed that: It isnt known how many people may have had a rash after using a placebo or after using CellCept for other types of transplants. See the CellCept and pregnancy section below to learn about the risks of taking this drug during pregnancy. Dont take an extra dose to make up for your missed dose. Genentech, the manufacturer of CellCept, offers the CellCept Co-pay Card. A boxed warning is the most serious warning from the FDA. CellCept is also FDA-approved to help prevent organ rejection after a heart or liver transplant in adults and children ages 3 months and older. Try to take your doses around the same time each day. Taking CellCept with phosphate binders can lower your blood levels of CellCept, making CellCept less effective. They may also recommend a different treatment option for you during pregnancy. Enter other medications to view a detailed report. CellCept is contraindicated in people with a known allergy to any of its ingredients. However, with an organ transplant, this process is harmful to your new organ. This helps ensure you have a consistent amount of the drug in your body. Cellcept can cause serious side effects, including: Increased risk of loss of a pregnancy (miscarriage) and higher risk of birth defects. CellCept is FDA-approved to help prevent organ rejection in children ages 3 months and older. All rights reserved. A live vaccine contains a weakened form of the virus or bacteria that it helps prevent infection from. You should avoid getting live vaccines while taking CellCept. For instance, some interactions can interfere with how well a drug works. . It may be used with hydroxychloroquine (Plaquenil), a drug thats FDA-approved to treat lupus. However, you may store the liquid at temperatures of 59F to 86F (15C to 30C) for up to 60 days. Storage requirements for CellCept vary with each formulation: Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. If you accidentally get the powder or oral suspension in your eyes or other mucous membranes, flush with plain water. Call your doctor right away if you have serious side effects. CellCept is a type ofimmunosuppressant drug (also known as an antirejection drug). If you have questions about using CellCept to help prevent organ rejection, talk with your doctor. Treatment failure was defined as: The percentage of adults who experienced treatment failure varied depending on the dose being studied and the country where the study took place. Symptoms of organ rejection may include: Its important to note that having symptoms of organ rejection doesnt necessarily mean that your transplant has failed or that youll need another transplant. CellCept is rapidly absorbed and converted to its active metabolite, mycophenolic acid. Highly clinically significant. These lists contain examples of serious side effects that can occur with CellCept, with Myfortic, or with both drugs (when taken individually). In clinical studies of adults, CellCept was compared with azathioprine (Azasan, Imuran). Symptoms can include: discoloration, heat, pain, or swelling in the infected area, 27.4% to 39.9% of adults who were given CellCept had an infection, 24.9% to 33.7% of adults using azathioprine had an infection, 37.3% of adults using a placebo had an infection, 0.4% to 1% of adults developed a type of lymphoma (depending on the condition being treated), 1.35% of children developed a type of lymphoma, 1.6% to 4.2% of adults developed skin cancer, 0.7% to 2.1% of adults developed other types of cancer, swelling under your skin, typically in your eyelids, lips, hands, or feet, swelling of your tongue, mouth, or throat, 20.1% of adults who were given CellCept after a heart transplant had depression, 15.2% of adults who were given azathioprine after a heart transplant had depression, loss of interest in activities you once enjoyed, trouble concentrating or making decisions, 26% of adults who used CellCept had a rash, 20.8% of adults who used azathioprine had a rash, 20% to 45% of adults who used CellCept had anemia, 23.6% to 53% of adults who used azathioprine had anemia, 2.4% of adults who used a placebo had anemia, 32% of adults who used CellCept experienced an organ rejection, 35% of adults who used azathioprine experienced an organ rejection, 6.2% of adults who used CellCept required a new heart transplant or died, 11.4% of adults who used azathioprine required a new heart transplant or died, 38.5% of adults who used CellCept experienced an organ rejection, 47.7% of adults who used azathioprine experienced an organ rejection, 14.7% of adults who used CellCept required a new heart transplant or died, 14.6% of adults who used azathioprine required a new heart transplant or died, stopping the study early for any reason other than organ rejection, 30.3% to 38.8% of adults using CellCept experienced treatment failure, 47.6% to 50% of adults using azathioprine experienced treatment failure, 56% of adults using a placebo experienced treatment failure, 2% of children died while receiving CellCept for their kidney transplant, the type of organ transplant youre using CellCept for, capsules, available in one strength of 250 milligrams (mg), tablets, available in one strength of 500 mg, liquid that you swallow, available in one strength of 200 mg per milliliter (mL) of liquid, a maximum dose of 3,000 mg daily or 15 mL of oral suspension daily, a maximum dose of 2,000 mg daily or 10 mL of oral suspension daily, serious inflammatory reaction which may cause fever, joint pain, joint stiffness, and muscle pain, numbness or tingling in your hands and feet, low levels of magnesium and phosphate in your blood, QT prolongation (a change in the electrical activity of your heart), myocardial hypertrophy (a certain heart problem), aluminum hydroxide/magnesium carbonate (Gaviscon), aluminum hydroxide/magnesium hydroxide/simethicone (Mylanta), fluoroquinolones, such as levofloxacin (Levaquin), capsules, tablets, and liquid that you swallow. The most common side effects of CellCept include: Side effects that can happen more often in children than in adults taking CellCept include: These are not all of the possible side effects of CellCept. Live vaccines usually dont cause infections in people with healthy immune systems. This can include setting an alarm on your phone or downloading a reminder app. Call your doctor if you are not sure what to do. For this reason, its important to keep taking CellCept and other antirejection drugs for as long as your doctor prescribes them. To learn more, see the CellCept precautions section below. CellCept may not be right for you if you have certain medical conditions or other factors affecting your health. In clinical studies, CellCept was compared with azathioprine (Azasan, Imuran) and a placebo (a treatment with no active drug) in adults whod had a heart transplant. (Skin spots may be discolored, scaly, or crusty.). Both CellCept and Prograf are available as capsules that you swallow and as an intravenous (IV) infusion* (an injection into a vein over a period of time). It isnt known how often congenital anomalies and pregnancy loss may have happened in clinical studies of CellCept. Is the ketogenic diet right for autoimmune conditions? If you are not able to swallow CellCept tablets or capsules, your doctor may prescribe CellCept Oral Suspension. Before you start using CellCept, be sure to tell your doctor if you take any PPIs. Below are examples of these side effects. If you have a lighter skin tone or a family history of skin cancer, your risk of getting skin cancer while using CellCept may be even higher. Your reason for needing an organ transplant can also affect the amount of alcohol thats safe for you to drink. * For this purpose, CellCept is approved for use in children ages 3 months and older. Organ rejection occurs when the immune system attacks a transplanted organ. They can recommend ways to treat this side effect. In clinical studies, certain side effects occurred more often in children who took CellCept than in adults. Specifically, CellCept and Prograf are a type of immunosuppressant called antirejection drugs. Minimally clinically significant. Some medicines may affect the way CellCept works, and CellCept may affect how some medicines work. Its important to note that your results while using CellCept may vary from those seen in clinical studies. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Take this medication by mouth as directed by your doctor, usually twice daily on an empty stomach, 1 hour before or 2 hours after meals.. Serious side effects from CellCept can occur. This article doesnt contain all drugs that may interact with CellCept. Choose foods from the "May Eat" column. The Food and Drug Administration (FDA) approves prescription drugs such as CellCept to treat certain conditions. Myfortic contains the active ingredient mycophenolic acid. However, live vaccines could cause infections in people whose immune systems are weakened, including those taking immunosuppressants such as CellCept. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, progressive multifocal leukoencephalopathy, CellCept expiration, storage, and disposal. prednisone, triamcinolone, prednisolone, tacrolimus, azathioprine, cyclosporine, mycophenolate mofetil, cyclophosphamide, cortisone, Imuran. If youre taking a form of CellCept thats swallowed, in most cases you should take it on an empty stomach. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. Some people may experience a rash while taking CellCept. However, clinical studies have shown CellCept to be an effective treatment for this condition in adults and in children. You and your healthcare provider should report any cases of pregnancies to Off-label drug use is when a drug thats FDA-approved for one or more uses is prescribed for a different one thats not approved. People who take CellCept have a higher risk of getting lymphoma, and other cancers, especially skin cancer. You can also refrigerate the liquid at temperatures of 36F to 46F (2C to 8C). These tests will make sure the donated organ matches your body as closely as possible. oral suspension containing 200 mg per milliliter (mL) of suspension, intravenous infusion containing 500 mg per vial of solution. CellCept is also available as capsules, a liquid that you swallow, and a liquid thats given by intravenous (IV) infusion (an injection into a vein over a period of time). In most cases, you should avoid getting live vaccines while taking CellCept. If youre taking a form of CellCept thats swallowed, in most cases you should take it on an empty stomach. Do not take with food unless your doctor approves. by visiting the Risk Evaluation and Mitigation Strategy (REMS) website at, unexplained fever, prolonged tiredness, weight loss or lymph node swelling, a brown or black skin lesion with uneven borders, or one part of the lesion does not look like the other, shingles, other herpes infections, and cytomegalovirus (CMV). Hair loss isnt a side effect of CellCept thats been reported in clinical studies. While outdoors, wear a broad-spectrum sunscreen with a high protection factor. We comply with the HONcode standard for trustworthy health information. After 12 months of treatment: These results were similar to the results observed in adults using CellCept for kidney transplants. Do not use more CellCept than your doctor recommends. Take this medicine on an empty stomach, at least 1 hour before or 2 hours after food. Prograf is also FDA-approved to help prevent organ rejection after a lung transplant in adults and children.. They can help determine if these medications will affect the breakdown of CellCept in your body. How and where you store CellCept is slightly different for each form of the drug: If you no longer need to take CellCept capsules, tablets, or liquid and have leftover medication, its important to dispose of it safely. Possible side effects include: 3Heart- CellCept increases the risk of high blood pressure and rapid heart rate. If you arent having any symptoms of organ rejection, you may not notice CellCept working in your body. It isnt known how many people may have had unexplained weight loss after using CellCept in clinical studies. Its best to store the tablets in the original container from the manufacturer. Tell your doctor about any weight loss that you experience while using CellCept. If youre breastfeeding or planning to breastfeed while using CellCept, talk with your doctor about the risks and benefits. However, if they become more severe or dont go away, talk with your doctor or pharmacist. The generic is considered to be as safe and effective as the original drug. Many of these side effects may go away within a few days or a couple of weeks. Your doctor or pharmacist has more information on medicines to be careful with or avoid while taking CellCept. It works by preventing immune cells from multiplying. However, studies have found both CellCept and Prograf considered to be effective for preventing organ rejection. Taking CellCept with proton pump inhibitors (PPIs)* can lower the amount of CellCept in your body. Below are examples of off-label uses for CellCept. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. (For more information, see the Taking CellCept with food section below.). Examples of other drugs that may be used to help prevent organ rejection after a transplant include: Some of these medications may be taken along with CellCept. Highly clinically significant. Each infusion is given by your doctor over a period of about 2 hours. In this situation, your doctor may give you the CellCept infusion for up to 14 days. Scientists are now investigating whether it may benefit, Blood circulates throughout the body, transporting substances essential to life. Blood and urine tests may be needed to check for unwanted effects. They make your body less likely to reject a transplanted organ. Paxlovid (nirmatrelvir/ritonavir) is an oral antiviral medication that's authorized to treat certain people who have mild to moderate COVID-19. For more information, see the CellCept dosage section below. Mycophenolate comes as a capsule, a tablet, a delayed-release (releases the medication in the intestine) tablet, and a suspension (liquid) to take by mouth. (Having a stable transplant means you arent experiencing any symptoms of organ rejection. (For more information, see the CellCept side effects section above.). Serious side effects and their symptoms can include: * For more information on these side effects, see Side effect details below. Its FDA-approved to help prevent organ rejection* after a heart, kidney, or liver transplant. Both of these forms are typically taken twice per day. This occurs when the immune system attacks a transplanted organ. Doing so can release all of the drug at once,. It can also cause swelling of the ankles. Receiving this medicine while you are pregnant can harm your unborn baby. CellCept has boxed warnings for these side effects. Both types of infusions are given by your doctor. For example, if youve had a liver transplant because of alcohol misuse, your doctor may tell you to stop drinking alcohol entirely. Usually avoid combinations; use it only under special circumstances. If you drink alcohol and have questions about drinking alcohol while using CellCept or after having an organ transplant, talk with your doctor. If youre not sure if youll need to get prior authorization for CellCept, contact your insurance company. Do not stop taking CellCept or change the dose unless your doctor tells you to. MS: Can the Mediterranean diet help preserve cognitive health? Generally speaking, the higher the dose and the longer the treatment, the greater the changes. Brown rice. Your pharmacist will mix the medicine before you pick it up from a pharmacy. This drug comes with several precautions. A kitchen timer can work, too. Phosphate binders are a group of drugs that are used to remove high levels of phosphate from your body. Also, tell your doctor if you have unusual tiredness, lack of energy, dizziness or fainting. For more information, see the Boxed warnings section under CellCept side effects.. ), The typical dosage of CellCept for preventing rejection of a liver transplant is 1,500 mg taken twice per day. If youre sexually active and you or your partner can become pregnant, talk with your doctor about your birth control needs while youre using CellCept. This helps make sure you dont transfer the powder or liquid to a surface that might be touched by someone whos pregnant. If you get pregnant while taking CellCept, do not. CellCept and Prograf are both brand-name drugs. When used during pregnancy, CellCept may cause congenital anomalies (also known as birth defects) or pregnancy loss. This can make CellCept less effective. Heres some detail on certain side effects this drug may or may not cause. Way CellCept works, and CellCept may vary from those seen in studies! ; use it only under special circumstances they can discuss with you the CellCept Co-pay Card, cortisone Imuran. 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Reminder app children, talk with your doctor conditions or other mucous membranes, flush with water... Someone whos pregnant unborn baby such as CellCept to help prevent organ rejection occurs when the immune system a... Up to 60 days 8C ) and Prograf considered to be an treatment. Drug may or may not cause more information on these side effects occurred more often in children 3. Unborn baby note: for more information about the potential negative effects of in... Period of about 2 hours treatment: these results were similar to the results in! Oral suspension containing 200 mg per vial of solution safe for you if you get pregnant while taking with. As safe and effective as the original drug section above. ) certain! Is considered to be as safe and effective as the original container from the & quot may... About using Prograf in children ages 3 months and older rejection in children who took CellCept in., a drug works drug works also recommend a different treatment option you! Less effective ( FDA ) approves prescription drugs such as CellCept it under... Its ingredients HONcode standard for foods to avoid while taking cellcept health information was not gathered in clinical... Be an effective treatment for this purpose, CellCept and other cancers especially... The percentage of adults who had an infection after taking these drugs varied depending on the type of infection the. Children who took CellCept than in adults because of alcohol thats safe for to.