Myhibbin Side Effects
Generic name: mycophenolate mofetil
Medically reviewed by Drugs.com. Last updated on Dec 29, 2024.
Note: This document provides detailed information about Myhibbin Side Effects associated with mycophenolate mofetil. Some dosage forms listed on this page may not apply specifically to the brand name Myhibbin.
Applies to mycophenolate mofetil: oral capsule, oral powder for suspension, oral tablet.
Other dosage forms:
Important warnings
This medicine can cause some serious health issues
Oral route (capsule; tablet; powder for suspension)
Embryofetal Toxicity, Malignancies and Serious Infections. Use during pregnancy is associated with increased risks of first trimester pregnancy loss and congenital malformations.
Avoid if safer treatment options are available.
Females of reproductive potential must be counseled regarding pregnancy prevention and planning.Increased risk of development of lymphoma and other malignancies, particularly of the skin.Increased susceptibility to infections, including opportunistic infections and severe infections with fatal outcomes.
Serious side effects of Myhibbin
Along with its needed effects, mycophenolate mofetil (the active ingredient contained in Myhibbin) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking mycophenolate mofetil:
More common side effects
- black, tarry stools
- bladder pain
- bleeding gums
- bloating or swelling of the face, arms, hands, lower legs, or feet
- blood in the urine or stools
- bloody or cloudy urine
- blurred vision
- burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
- chest pain or tightness
- confusion
- cough or hoarseness
- decreased urine
- difficult or labored breathing
- difficult, burning, or painful urination
- difficulty in moving
- dizziness
- dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
- drowsiness
- dry mouth
- fainting
- fast, slow, pounding, or irregular heartbeat or pulse
- fever or chills
- flushed, dry skin
- frequent urge to urinate
- fruit-like breath odor
- headache
- heartburn
- increased hunger
- increased thirst
- increased urination
- irregular heartbeats
- irregular pulse
- irritability
- lightheadedness
- loss of appetite
- loss of strength or energy
- lower back or side pain
- muscle cramps in the hands, arms, feet, legs, or face
- muscle pain, stiffness, cramps, or weakness
- muscle spasms (tetany) or twitching
- nausea or vomiting
- nervousness
- numbness or tingling in the hands, feet, or lips
- pain in the joints
- painful or difficult urination
- pale skin
- pinpoint red spots on the skin
- pounding in the ears
- rapid weight gain
- rapid, shallow breathing
- seizures
- sore throat
- sores, ulcers, or white spots on the lips or in the mouth
- stomach cramps, pain, and bloating
- sweating
- swollen glands
- tingling of the hands or feet
- trembling
- tremor
- trouble breathing
- unusual bleeding or bruising
- unusual tiredness or weakness
- unusual weight gain or loss
- weakness or heaviness of the legs
Incidence not known
- back pain
- bloody, black, tarry stools
- constipation
- coughing or spitting up blood
- darkened urine
- general feeling of illness
- indigestion
- night sweats
- pain
- pains in the stomach, side, or abdomen, possibly radiating to the back
- severe headache
- sudden high fever or low-grade fever for months
- tenderness
- watery or bloody diarrhea
- yellow eyes or skin
Other side effects of Myhibbin
Some side effects of mycophenolate mofetil may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.
Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
More common side effects
- acid or sour stomach
- belching
- fear
- heartburn
- lack or loss of strength
- rash
- trouble sleeping
- weight loss
Precautions
It is very important that your doctor check your progress at regular visits. Your doctor will do blood tests to make sure that mycophenolate is working properly and to check for unwanted effects.
Using this medicine while you are pregnant can harm your unborn baby or cause a miscarriage during the first 3 months. If you are a woman who can bear children, your doctor may give you a pregnancy test before you start using this medicine to make sure you are not pregnant. Your birth control pills may not work as well while you are using this medicine. You must use two forms of birth control together for 1 month before starting this medicine, for the entire time that you are being treated, and for 6 weeks after you receive your last dose of this medicine. Use birth control pills together with another form of birth control, including a condom, diaphragm, or contraceptive foam or jelly. Male patients with female partners should use an effective form of birth control during treatment and for at least 90 days after the last dose. If you think you have become pregnant while using the medicine, tell your doctor right away.
Do not donate sperm during treatment and for at least 90 days after the last dose.
Using this medicine may increase your risk of getting skin cancer or cancer of the lymph system (lymphoma). Talk to your doctor if you have concerns about this risk.
Use sunscreen or sunblock lotions with a sun protection factor (SPF) of at least 30 on a regular basis when you are outdoors. Wear protective clothing and hats and stay out of direct sunlight, especially between the hours of 10 am. and 3 pm. Avoid sunlamps and tanning beds.
Mycophenolate can temporarily lower the number of white blood cells in your blood, which increases the chance of getting an infection. If you can, avoid people with infections. Check with your doctor immediately if you think you are getting an infection or if you have a fever or chills, cough or hoarseness, lower back or side pain, or painful or difficult urination.
Mycophenolate may cause pure red cell aplasia (PRCA). This is a very rare condition where the body no longer makes red blood cells and the patient has severe anemia. Check with your doctor right away if you have a fever and sore throat, pale skin, unusual bleeding or bruising, or unusual tiredness or weakness.
This medicine may increase your risk of developing a serious and rare brain infection called progressive multifocal leukoencephalopathy (PML). Check with your doctor right away if you have vision changes, loss of coordination, clumsiness, memory loss, difficulty speaking or understanding what others say, and weakness in the legs.
This medicine may increase your risk of developing rare and serious virus infections, including shingles, herpes, cytomegalovirus (CMV) infection, polyomavirus associated nephropathy (PVAN), BK virus-associated nephropathy (BKVAN), or SARS-CoV-2 (COVID-19) infection. The BK virus may affect how your kidneys work and cause a transplanted kidney to fail. Check with your doctor right away if you have bloody urine, a decreased frequency or amount of urine, increased thirst, loss of appetite, lower back or side pain, nausea, swelling of the face, fingers, or lower legs, trouble breathing, unusual tiredness or weakness, vomiting, or weight gain.
This medicine may cause reactivation of hepatitis B or C infection. Check with your doctor right away if you have dark-colored urine or pale stools, nausea, vomiting, loss of appetite, pain in your upper stomach, or yellow skin or eyes.
Check with your doctor right away if you have difficulty in moving, fever, muscle pain or stiffness, or pain, swelling, or redness in the joints. These may be symptoms of acute inflammatory (swelling) syndrome.
While you are using mycophenolate, and after you stop, do not have any immunizations (vaccinations) without your doctor's approval. Mycophenolate will lower your body's resistance and there is a chance you might get the infection the immunization is meant to prevent.
This medicine may cause serious stomach or bowel problems (eg, ulcers, bleeding). Check with your doctor right away if you have black, tarry stools, constipation, diarrhea, heartburn, indigestion, nausea, stomach pain, cramping, or burning, trouble breathing, or vomiting of blood or material that looks like coffee grounds.
This medicine may inhibit the ability to drive and use machines. Avoid driving or using machines if confusion, dizziness, fainting, lightheadedness, sleepiness, or trembling or shaking of the hands or feet occur during treatment.
Do not Stop taking mycophenolate mofetil without checking first with your doctor. Doing so may cause rejection of your transplanted organ. Your doctor will decide how long you should take this medicine.
Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.
For healthcare professionals
Applies to mycophenolate mofetil: intravenous powder for injection, oral capsule, oral powder for reconstitution, oral tablet.
Gastrointestinal adverse events
- Very common (10% or more): Diarrhea (36%), nausea (20%), vomiting (13%), abdominal pain
- Common (1% to 10%): GI infection, gastroenteritis
- Rare (less than 0.1%): Gingival hyperplasia, colitis including cytomegalovirus colitis, pancreatitis intestinal villous atrophy
- Frequency not reported: Ischaemic colitis[Ref]
Hematologic
- Very common (10% or more): Leukopenia (11% to 35%), anemia (35%)
- Common (1% to 10%): Blood creatinine increased, blood lactate dehydrogenase increased, blood urea increased, blood alkaline phosphatase increased, thrombocytopenia, neutropenia
- Very rare (less than 0.01%): Deep venous thrombosis
- Postmarketing reports: Pure red cell aplasia (PRCA), abnormal neutrophil morphology, including the acquired Pelger-Huet anomaly, bone marrow failure, lymphocele[Ref]
Immunologic
- Very common (10% or more): Sepsis (primarily cytomegalovirus viremia) (20%), gastrointestinal candidiasis, urinary tract infection, herpes simplex, herpes zoster
- Common (1% to 10%): Pneumonia, influenza, respiratory tract infection, respiratory moniliasis, gastrointestinal infection, candidiasis, gastroenteritis, infection, bronchitis, pharyngitis, sinusitis, fungal skin infection, skin candida, vaginal candidiasis
- Postmarketing reports: Hypogammaglobulinemia, hypersensitivity, and serious life-threatening infections including meningitis, endocarditis, tuberculosis, atypical mycobacterial infection[Ref]
Oncologic
- Common (1% to 10%): Lymphoma, lymphoproliferative disease, non-melanoma skin carcinoma
- Uncommon (0.1% to 1%): Post-transplant lymphoproliferative disease (pseudolymphoma)[Ref]
Renal
- Very common (10% or more): Hematuria (13%), kidney tubular necrosis (up to 10%)
- Common (1% to 10%): Renal impairment
- Frequency not reported: BK virus-associated nephropathy[Ref]
Metabolic
- Very common (10% or more): Edema (12% to 28%), hyperphosphatemia (13%), hypokalemia (10%), hyperglycaemia (10%)
- Common (1% to 10%): Weight loss, hyperkalemia[Ref]
Respiratory
- Very common (10% or more): Respiratory tract infection (23%), dyspnea (16%), increased cough (16%)
- Common (1% to 10%): Pneumonia, respiratory moniliasis, bronchitis, pharyngitis, sinusitis, rhinitis, pleural effusion
- Postmarketing reports: Bronchiectasis, interstitial lung disease, fatal pulmonary fibrosis[Ref]
Dermatologic
- Common (1% to 10%): Fungal skin infection, skin hypertrophy, rash, acne, alopecia
- Very rare (less than 0.01%): Dyshidrotic eczema, papulosquamous psoriatic-like skin eruption[Ref]
Other
- Common (1% to 10%): Edema, pyrexia, chills, pain, malaise, asthenia
- Frequency not reported: Congenital malformations, increased incidence of first trimester pregnancy loss[Ref]
Musculoskeletal
- Common (1% to 10%): Arthralgia
- Very rare (less than 0.01%): Myopathy[Ref]
Hepatic
- Common (1% to 10%): Hepatitis, jaundice, hyperbilirubinemia, hepatic enzyme increased
- Very rare (less than 0.01%): Sodium-induced hepatotoxicity[Ref]
Cardiovascular
- Common (1% to 10%): Tachycardia, hypotension, hypertension, vasodilatation
- Postmarketing reports: Endocarditis, venous thrombosis[Ref]
Genitourinary
- Common (1% to 10%): Urinary tract infection (up to 45%), vaginal candidiasis[Ref]
Hypersensitivity
- Postmarketing reports: Angioneurotic edema, anaphylactic reaction[Ref]
See also:
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References
1. (2001) "Product Information. CellCept (mycophenolate mofetil)." Roche Laboratories
2. Cerner Multum, Inc. "UK Summary of Product Characteristics."
3. Pharmaceutical Society of Australia (2006) APPGuide online. Australian prescription products guide online. http://www.appco.com.au/appguide/default.asp
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Further information
Myhibbin side effects can vary depending on the individual. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Note: Medication side effects may be underreported. If you are experiencing side effects that are not listed, submit a report to the FDA by following this guide.