MMF -S Tablet (Mycophenolate mofetil 360mg)

INTRODUCTION

MMF S contains Mycophenolate which belongs to a group of medicine called immunosuppressants. It is used to prevent your body rejecting a transplanted organ (kidney, heart, or liver). It should be used together with other medicines such as ciclosporin and corticosteroids. Immunosuppressant is an agent that can suppress or prevent the immune response. It works by reduce the action of body’s own defence system (the immune system) and prevents rejection of the transplanted organ.

The most common side effects are nausea, vomiting, diarrhoea, stomach pain, headache, high blood pressure, and changes in the number of white blood cells. This medicine is strictly not recommended for use in children under 2 years old. It can be used in children and adolescents (aged 2 to 18 years). Before taking this medicine tell your doctor if you have ever had kidney disease, heart disease, liver problems. Pregnant and breastfeeding women should consult their doctor before taking this medicine.

USES OF MMF S

Helps to prevent your body rejecting a transplanted organ (kidney, heart, or liver)

HOW MMF S WORKS

MMF S works by reduce the action of body’s own defence system (the immune system) and prevents rejection of the transplanted organ.

DIRECTIONS FOR USE

Always take MMF S exactly as your doctor has told you. This medicine must be taken empty stomach, at least one hour before or two hours after a meal. Try to take this medicine at the same time each day. It should be swallowed whole with water. Do not crush or chew the medicine.

SIDE EFFECTS OF MMF S

SERIOUS
Infections such as a fever or sore throat
Unexpected bruising or bleeding
Rash, swelling of your face, lips, tongue, or throat, with difficulty breathing (such as anaphylaxis, angioeodema)
COMMON
Nausea, vomiting
Fewer white cell or red cell in your blood
Infections of brain, stomach, lungs and urinary tract
Lymph and skin cancer
Feeling very tired
Severe pains
Headache, flu symptoms and swelling
Kidney problems or the urgent need to pass water (urine)
Inflammation of the pancreas, colon, or stomach
Gastrointestinal disorders including bleeding
Dizziness or drowsiness
Tremor, muscle spasms, convulsions
Anxiety or depressed, changes in your mood or thoughts
Change in blood pressure, unusual heartbeat and widening of blood vessel
Pneumonia, bronchitis
Weight loss
Gout
High blood sugar

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HOW TO MANAGE SIDE EFFECTS

Nausea and vomiting:

Try taking this medicine with, or just after, a meal or snack and stick to simple meals and do not eat rich or spicy food.

Stomach pain:

Try to rest and relax. You can eat and drink slowly or have smaller and frequent meals. Applying heat pad or covered hot water bottle on your stomach may also help. If still pain persists, speak to your doctor.

Headache:

Apply hot or cold-water bag on your head. Take rest in a quiet and dark room. Drink tea or coffee.

Constipation:

Take fibre rich foods such as fresh fruit, vegetables and cereals, and drink plenty of water. Exercise more regularly.

Diarrhoea:

Drink lots of fluid such as water or squash, to avoid dehydration. Do not take any other medicines without speaking to a doctor.

Dizziness:

Get up and move around to feel awake, take small naps to edge off the sleepiness. Give your eyes a break to avoid fatigue and eat a healthy food to boost energy.

Weight loss:

Take breakfast every day. Eat lots of protein. Weigh yourself regularly. Lift weights.

WARNING & PRECAUTIONS

PREGNANCY
MMF S is not recommended for use in pregnant women unless necessary. Discuss the risks and benefits with your doctor.

BREASTFEEDING
MMF S is not recommended for use in breastfeeding women unless necessary. Discuss the risks and benefits with your doctor.

DRIVING AND USING MACHINES
MMF S has not been shown to impair your ability to drive or operate machinery.

ALCOHOL
Consumption of alcohol is not recommended during treatment with MMF S.

KIDNEY
MMF S should be used with caution in patients suffering from active kidney diseases. Consult your doctor for advice.

LIVER
MMF S should be used with caution in patients suffering from liver function impairment or active liver diseases. Consult your doctor for advice.

ALLERGY
Do not take MMF S if you are allergic (hypersensitive) to mycophenolate mofetil or any other ingredients in this medicine.

HEART DISEASE
MMF S should be used with caution in patients suffering from active heart diseases. Consult your doctor for advice.

OTHERS

Tell your doctor if you have or had condition such as,

Any evidence of infection (e.g. fever, sore throat), unexpected bruising and/or bleeding
Any problems with your digestive system, e.g. stomach ulcers
Rare hereditary deficiency of hypoxanthine-guanine phosphoribosyl-transferase (HGPRT) such as Lesch-Nyhan and Kelley-Seegmiller syndrome

INTERACTIONS

Talk to your doctor if you are taking,

Azathioprine or other medicines (given after a transplant operation)
Cholestyramine (used to treat high cholesterol)
Antibiotic such as rifampicin (used to prevent and treat infections such as tuberculosis)
Antacids or proton pump inhibitor (used for acid problems in your stomach such as indigestion)
Phosphate binder (used by people with chronic kidney failure to reduce how much phosphate gets absorbed into their blood)
Isavuconazole (used to treat fungal infections)
Telmisartan (used to treat high blood pressure)
Acyclovir, valaciclovir or ganciclovir (used to treat viral infection)
Vaccine (a live vaccine)