CellCept; CellCept Intravenous; Myfortic
CellCept; CellCept I.V.; Myfortic
- Use of this drug during pregnancy may cause birth defects or death of the unborn baby. If your child is able to become pregnant, have your child use birth control to prevent pregnancy while taking this drug. The doctor must talk with you and your child about how to avoid getting pregnant while taking this drug. A pregnancy test will be done right before starting this drug and repeated 8 to 10 days later to show that your child is NOT pregnant. If your child gets pregnant or plans on getting pregnant while taking this drug, call the doctor right away.
- This drug may raise the chance of getting cancer like lymphoma or skin cancer. Call your child’s doctor right away if your child has a change in color or size of a mole, a skin lump or growth, a big weight loss, night sweats, or swollen glands.
- Your child may have more chance of getting an infection. Some infections have been deadly. Have your child wash hands often. Have your child stay away from people with infections, colds, or flu.
- Call your child’s doctor right away if your child has any signs of infection like fever, chills, flu-like signs, very bad sore throat, ear or sinus pain, cough, more sputum or change in color of sputum, pain with passing urine, mouth sores, or a wound that will not heal.
- It is used to keep the body from harming the organ after an organ transplant.
- It may be given to your child for other reasons. Talk with the doctor.
- If your child has an allergy to this drug or any part of this drug.
- If your child is allergic to any drugs like this one or any other drugs, foods, or other substances. Tell the doctor about the allergy and what signs your child had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If your child has Lesch-Nyhan or Kelley-Seegmiller syndrome or a rare inherited deficiency of hypoxanthine-guanine phosphoribosyl-transferase (HGPRT).
- If your child is taking any of these drugs: Azathioprine, cholestyramine, colesevelam, colestipol, norfloxacin with metronidazole, or sevelamer.
- If your child is taking another drug that has the same drug in it.
- If your child is able to get pregnant and is not using 2 kinds of birth control.
If your child is breast-feeding a baby:
- Talk with the doctor if your child is breast-feeding a baby or plans to breast-feed a baby.
- If your child is allergic to polysorbate 80.
- Tell all of your child’s health care providers that your child is taking this drug. This includes your child’s doctors, nurses, pharmacists, and dentists.
- Have your child avoid tasks or actions that call for alertness until you see how this drug affects your child. These are things like riding a bike, playing sports, or using items such as scissors, lawnmowers, electric scooters, toy cars, or motorized vehicles.
- If your child has high blood sugar (diabetes), you will need to watch his/her blood sugar closely.
- Have your child’s blood work checked often. Talk with your child’s doctor.
- Talk with the doctor before your child gets any vaccines. Use with this drug may either raise the chance of very bad infection or make the vaccine not work as well.
- Your child may bleed more easily. Make sure your child is careful and avoids injury. Be sure your child has a soft toothbrush.
- There is a chance of skin cancer. Have your child avoid lots of sun, sunlamps, and tanning beds. Use sunscreen and dress your child in clothing and eyewear that protects your child from the sun.
- Hepatitis B or C testing may be done. A hepatitis B or C infection may get worse during care. Talk with the doctor.
- Bleeding, holes, and ulcers in the GI (gastrointestinal) tract have happened with this drug. Sometimes, people have had to go to the hospital. Talk with the doctor.
- Your child may need to avoid donating blood while taking this drug and for some time after. Talk with the doctor.
- If your child is a male, he may need to avoid donating sperm while taking this drug and for some time after. Talk with the doctor.
- Do not switch brands or types of this drug (like tablets, liquid) unless you talk with the doctor. They may not work the same.
- Use with care in children. Talk with the doctor.
If your child is or may be sexually active:
- If your child is a male and has sex with a female who could get pregnant, they may need to protect her from pregnancy during care and for some time after care ends. Talk with the doctor.
- Birth control pills and other hormone-based birth control may not work as well to prevent pregnancy. Be sure your child uses some other kind of birth control also, like a condom, when taking this drug.
- Have your child use 2 kinds of birth control to prevent pregnancy while taking this drug and for 6 weeks after stopping this drug.
- If your child gets pregnant while taking this drug or within 6 weeks after her last dose, call your child’s doctor right away.
- If your child has phenylketonuria (PKU), talk with your child’s doctor. Some products have phenylalanine.
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Signs of high blood sugar like confusion, feeling sleepy, more thirst, more hungry, passing urine more often, flushing, fast breathing, or breath that smells like fruit.
- Signs of electrolyte problems like mood changes, confusion, muscle pain or weakness, a heartbeat that does not feel normal, seizures, not hungry, or very bad upset stomach or throwing up.
- Signs of skin infection like oozing, heat, swelling, redness, or pain.
- Chest pain or pressure.
- Fast or slow heartbeat.
- A heartbeat that does not feel normal.
- Feeling very tired or weak.
- Any unexplained bruising or bleeding.
- Throwing up blood or throw up that looks like coffee grounds.
- Black, tarry, or bloody stools.
- A burning, numbness, or tingling feeling that is not normal.
- Muscle cramps.
- Very bad belly pain.
- Pale skin.
- White patches in mouth.
- Vaginal itching or discharge.
- Yellow skin or eyes.
- A very bad brain problem called progressive multifocal leukoencephalopathy (PML) may happen with this drug. It may cause disability or death. Tell the doctor right away if your child has signs like confusion, memory problems, low mood (depression), change in the way your child acts, change in strength on 1 side is greater than the other, trouble speaking or thinking, change in balance, or change in eyesight.
- Some people treated with this drug have had very bad kidney problems caused by a certain viral infection (BK virus). In people who have had a kidney transplant, BK virus infection may cause loss of the kidney. Call the doctor right away if your child has signs of kidney problems like change in the amount of urine passed, trouble passing urine, pain when passing urine, or blood in the urine.
- Very bad and sometimes deadly lung problems have happened with this drug. Call the doctor right away if your child has lung or breathing problems like trouble breathing, shortness of breath, or a cough that is new or worse.
- Belly pain.
- Upset stomach or throwing up.
- Hard stools (constipation).
- Back pain.
- Not hungry.
- Feeling tired or weak.
- Not able to sleep.
- Joint pain.
- This drug may cause loose stools (diarrhea). If your child gets loose stools (diarrhea), talk with the doctor about ways to lower this effect. Do not stop giving this drug to your child without talking with the doctor.
- Irritation where the shot is given.
All oral products:
- Give on an empty stomach at least 1 hour before or 2 hours after meals unless the doctor has told you otherwise.
- Do not give antacids that have magnesium or aluminum at the same time as this drug. Talk with the doctor or pharmacist.
- To gain the most benefit, do not miss giving your child doses.
- Keep giving this drug to your child as you have been told by your child’s doctor or other health care provider, even if your child feels well.
- Give this drug at the same time of day.
Tablets and capsules:
- Have your child swallow whole. Do not let your child chew, break, or crush.
- If your child has trouble swallowing, talk with the doctor.
- If the capsule is opened or broken, do not touch the contents. If the contents are touched or they get in the eyes, wash hands or eyes right away.
- Shake well before use.
- Measure liquid doses carefully. Use the measuring device that comes with this drug.
- Do not mix with any other liquid drugs.
- It is given as an infusion into a vein over a period of time.
All oral products:
- Give a missed dose as soon as you think about it.
- If it is close to the time for your child’s next dose, skip the missed dose and go back to your child’s normal time.
- Do not give 2 doses at the same time or extra doses.
- Call your child’s doctor to find out what to do.
Tablets and capsules:
- Store at room temperature.
- Protect from light.
- Store in a dry place. Do not store in a bathroom.
- Store liquid (suspension) at room temperature or in a refrigerator. Do not freeze. Throw away any part not used after 2 months.
- If you need to store this drug at home, talk with your child’s doctor, nurse, or pharmacist about how to store it.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
- If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
- Do not share your child’s drug with others and do not give anyone else’s drug to your child.
- Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
- Talk with your child’s doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
- Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, nurse, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.