Product Details

What you need to know before you take Mycophenolate Mofetil Capsules

WARNING

Mycophenolate causes birth defects and miscarriage. If you are a woman who could become pregnant, you must provide a negative pregnancy test before starting treatment and must follow the contraception advice given to you by your doctor. Your doctor will speak to you and give you written information, particularly on the effects of mycophenolate on unborn babies. Read the information carefully and follow the instructions. If you do not fully understand these instructions, please ask your doctor to explain them again before you take mycophenolate. See also further information in this section under “Warnings and precautions” and “Pregnancy and breast-feeding”. Do not take Mycophenolate Mofetil Capsules: • If you are allergic to mycophenolate mofetil, mycophenolic acid or any of the other ingredients of this medicine (listed in section 6). • If you are a woman who could be pregnant and you have not provided a negative pregnancy test before your first prescription, as mycophenolate causes birth defects and miscarriage. • If you are pregnant or planning to become pregnant or think you may be pregnant. • If you are not using effective contraception (see Pregnancy, contraception and breast-feeding). • If you are breast-feeding. Do not take this medicine if any of the above applies to you. If you are not sure, talk to your doctor or pharmacist before taking Mycophenolate mofetil. Warnings and precautions Talk to your doctor straight away before starting treatment with Mycophenolate Mofetil if: • If you have a sign of infection such as a fever or sore throat • If you have any unexpected bruising or bleeding • If you have ever had a problem with your digestive system such as a stomach ulcer • If you are planning to become pregnant or if you get pregnant while you or your partner are taking Mycophenolate Mofetil. • If you have rare enzyme hereditary disorder known as deficiency of hypoxanthine-guanine phosphoribosyl-transferase (HGPRT) such as Lesch-Nyhan and Kelley-Seegmiller syndrome. If any of the above apply to you (or you are not sure), talk to your doctor straight away before taking Mycophenolate Mofetil. The effect of sunlight Mycophenolate Mofetil reduces your body’s defences. As a result, there is an increased risk of skin cancer. Limit the amount of sunlight and UV light you get. Do this by: • wearing protective clothing that also covers your head, neck, arms and legs • using a sunscreen with a high protection factor. Other medicines and Mycophenolate Mofetil Capsules: Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines. This includes medicines obtained without a prescription such as herbal medicines. This is because Mycophenolate Mofetil can affect the way some other medicines work. Also other medicines can affect the way Mycophenolate Mofetil works. In particular, tell your doctor or pharmacist if you are taking any of the following medicines before you start Mycophenolate Mofetil: • azathioprine or other medicines that suppress your immune system – given after a transplant operation • cholestyramine – used to treat high cholesterol • rifampicin – an antibiotic used to prevent and treat infections such as tuberculosis (TB) • antacids or proton pump inhibitors – used for acid problems in your stomach such as indigestion • phosphate binders – used by people with chronic kidney failure to reduce how much phosphate gets absorbed into their blood. • antibiotics – used to treat bacterial infections • isavuconazole – used to treat fungal infections • telmisartan – used to treat high blood pressure • aciclovir, ganciclovir, and valganciclovir – used for the treatment and prevention of viral infections Vaccines If you need to have a vaccine (a live vaccine) while taking Mycophenolate Mofetil, talk to your doctor or pharmacist first. Your doctor will have to advise you on what vaccines you can have. You must not donate blood during treatment with Mycophenolate Mofetil and for at least 6 weeks after stopping treatment. Men must not donate semen during treatment with Mycophenolate Mofetil and for at least 90 days after stopping treatment. Mycophenolate Mofetil Capsules with food and drink Taking food and drink has no effect on your treatment with mycophenolate mofetil. Pregnancy, contraception and breast-feeding: Contraception in women taking Mycophenolate Mofetil If you are a woman who could become pregnant you must use an effective method of contraception with Mycophenolate Mofetil. This includes: • Before you start taking Mycophenolate Mofetil • During your entire treatment with Mycophenolate Mofetil • For 6 weeks after you stop taking Mycophenolate Mofetil. Talk to your doctor about the most suitable contraception for you. This will depend on your individual situation. Two forms of contraception are preferable as this will reduce the risk of unintended pregnancy. Contact your doctor as soon as possible, if you think your contraception may not have been effective or if you have forgotten to take your contraceptive pill. You are a woman who is not capable of becoming pregnant if any of the following applies to you: • You are post-menopausal, i.e. at least 50 years old and your last period was more than a year ago (if your periods have stopped because you have had treatment for cancer, then there is still a chance you could become pregnant) • Your fallopian tubes and both ovaries have been removed by surgery (bilateral salpingo-oophorectomy) • Your womb (uterus) has been removed by surgery (hysterectomy) • Your ovaries no longer work (premature ovarian failure, which has been confirmed by a specialist gynaecologist) • You were born with one of the following rare conditions that make pregnancy impossible: the XY genotype, Turner’s syndrome or uterine agenesis • You are a child or teenager who has not started having periods. Contraception in men taking Mycophenolate Mofetil The available evidence does not indicate an increased risk of malformations or miscarriage if the father takes mycophenolate. However, a risk cannot be completely excluded. As a precaution you or your female partner are recommended to use reliable contraception during treatment and for 90 days after you stop taking Mycophenolate Mofetil. If you are planning to have a child, talk to your doctor about the potential risks and alternative therapies. Pregnancy and breast-feeding If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. Your doctor will talk to you about the risks in case of pregnancy and the alternatives you can take to prevent rejection of your transplant organ if: • You plan to become pregnant. • You miss or think you have missed a period, or you have unusual menstrual bleeding, or suspect you are pregnant. • You have sex without using an effective method of contraception. If you do become pregnant during the treatment with mycophenolate, you must inform your doctor immediately. However, keep taking Mycophenolate Mofetil until you see him or her. Pregnancy Mycophenolate causes a very high frequency of miscarriage (50%) and of severe birth defects (23 – 27%) in the unborn baby. Birth defects that have been reported include anomalies of ears, of eyes, of face (cleft lip/palate), of development of fingers, of heart, oesophagus (tube that connects the throat with the stomach), kidneys and nervous system (for example spina bifida (where the bones of the spine are not properly developed)).Your baby may be affected by one or more of these. If you are a woman who could become pregnant, you must provide a negative pregnancy test before starting treatment and must follow the contraception advice given to you by your doctor. Your doctor may request more than one test to ensure you are not pregnant before starting treatment. Breast-feeding Do not take Mycophenolate Mofetil if you are breast-feeding. This is because small amounts of the medicine can pass into the mother’s milk. Driving and using machines: Mycophenolate Mofetil has a moderate influence on your ability to drive or use any tools or machines. If you feel drowsy, numb or confused, talk to your doctor or nurse and do not drive or use any tools or machines until you feel better.