Avoid or Use Alternate Drug. Applies only to oral form of both agents. Protect your skin from the sun. mycophenolate decreases effects of tetanus toxoid adsorbed or fluid by pharmacodynamic antagonism. All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. Applies only to oral form of both agents. Use Caution/Monitor. Immunosuppressive therapies may reduce the effectiveness of zoster vaccine recombinant. isavuconazonium sulfate will increase the level or effect of mycophenolate by Other (see comment). MPA undergoes glucuronidation; coadministration of inducers or inhibitors of glucuronidation (eg, ritonavir) could alter mycophenolate levels. Avoid or Use Alternate Drug. Use Caution/Monitor. Potential interaction applies to the prodrug mycophenolate mofetil conversion to active mycophenolic acid. Last updated on Nov 13, 2022. US residents can call their local poison control center at 1-800-222-1222. Contraindicated. glatiramer and mycophenolate both increase immunosuppressive effects; risk of infection. This drug is available at the lowest co-pay. Monitor Closely (1)sodium citrate/citric acid will decrease the level or effect of mycophenolate by increasing gastric pH. Use Caution/Monitor. Use Caution/Monitor. In general, administer drugs at least 2 hr before or after sodium zirconium cyclosilicate. Monitor Closely (1)levoketoconazole will increase the level or effect of mycophenolate by P-glycoprotein (MDR1) efflux transporter. mycophenolate and ocrelizumab both increase immunosuppressive effects; risk of infection. Consult your pharmacist for details.Since this drug can be absorbed through the skin and lungs and may harm an unborn baby, women who are pregnant or who may become pregnant should not handle this medication or breathe the dust from the tablets or powder from the capsules.The dosage is based on your medical condition and response to treatment. Monitor Closely (1)ublituximab and mycophenolate both increase immunosuppressive effects; risk of infection. Minor/Significance Unknown. Avoid or Use Alternate Drug. Applies only to oral form of both agents. Use Caution/Monitor. Avoid or Use Alternate Drug. provider for the most current information. The recommended dose of Levitra is 10 mg, taken about 25 to 60 minutes before sexual activity. Either increases toxicity of the other by immunosuppressive effects; risk of infection. Serious - Use Alternative (1)mycophenolate decreases effects of measles, mumps, rubella and varicella vaccine, live by pharmacodynamic antagonism. didanosine will decrease the level or effect of mycophenolate by increasing gastric pH. Use Caution/Monitor. Use Caution/Monitor. Immunosuppressants also increase risk of infection with concomitant live vaccines. Serious - Use Alternative (1)mycophenolate, idecabtagene vicleucel. mycophenolate decreases effects of anthrax vaccine by pharmacodynamic antagonism. Effect may be due to impairment of enterohepatic recirculation. USES: Mycophenolate is used in combination with other medications to keep your body from attacking and rejecting your transplanted organ (such as kidney, liver, heart). Either increases levels of the other by decreasing renal clearance. chlorpropamide will increase the level or effect of mycophenolate by acidic (anionic) drug competition for renal tubular clearance. Contraindicated. calcium carbonate will decrease the level or effect of mycophenolate by increasing gastric pH. Interaction only with oral iron administration. Do not stop using mycophenolate without first talking to your doctor. Kidney injury occurs in more than 60% of systemic lupus erythematosus (SLE) cases. Avoid or Use Alternate Drug. . Immunosuppressants also increase risk of infection with concomitant live vaccines. Modify Therapy/Monitor Closely. ibuprofen will increase the level or effect of mycophenolate by acidic (anionic) drug competition for renal tubular clearance. Immunosuppressive therapies, including irradiation, antimetabolites, alkylating agents, cytotoxic drugs and corticosteroids (used in greater than physiologic doses), may reduce the immune response to cholera vaccine. Levitra and Viagra treat erectile dysfunction, but work in different ways. Immunosuppressants also increase risk of infection with concomitant live vaccines. Potential interaction applies to the prodrug mycophenolate mofetil conversion to active mycophenolic acid. Contraindicated. mycophenolate decreases effects of pneumococcal vaccine 13-valent by pharmacodynamic antagonism. Contraindicated. Contraindicated. Vardenafil side effects. Interaction only with oral iron administration. Caution should be taken in patients on concomitant immunosuppressants or with impaired immune systems because of increased risk for serious infections. Contraindicated. Patients should consider using an alternative or additional form of contraception. Clinical significance unclear. bendroflumethiazide will increase the level or effect of mycophenolate by acidic (anionic) drug competition for renal tubular clearance. Increase to 20 mg or decrease to 5 mg based on efficacy/tolerability. acemetacin will increase the level or effect of mycophenolate by acidic (anionic) drug competition for renal tubular clearance. Patients vaccinated within a 14-day period before starting or during immunosuppressive therapy should be revaccinated =3 months after therapy is discontinued if immune competence has been restored. Use Caution/Monitor. Use Caution/Monitor. Enteric coated mycophenolate sodium formulation is less sensitive to this interaction. mycophenolate and temsirolimus both increase immunosuppressive effects; risk of infection. Immunosuppressants also increase risk of infection with concomitant live vaccines. Use Caution/Monitor. Interaction only with oral iron administration. Immunosuppressive therapies, including irradiation, antimetabolites, alkylating agents, cytotoxic drugs, and corticosteroids (used in greater than physiologic doses), may reduce the immune responses to vaccines. Modify Therapy/Monitor Closely. Avoid or Use Alternate Drug. . Possible reactions include: a potentially dangerous drop in blood pressure, or hypotension. Modify Therapy/Monitor Closely. Either increases levels of the other by decreasing renal clearance. Most While Levitra is taken about 1 hour before it is needed, Cialis can be consumed up to 12 hours before. The dose may be increased to a maximum recommended dose of 20 mg or decreased to 5 mg based on efficacy and side effects. Avoid or Use Alternate Drug. Use Caution/Monitor.dichlorphenamide, mycophenolate. You may report side effects to Health Canada at 1-866-234-2345. Monitor Closely (1)parecoxib will increase the level or effect of mycophenolate by acidic (anionic) drug competition for renal tubular clearance. Avoid or Use Alternate Drug. dichlorphenamide and mycophenolate both decrease serum potassium. Vision changes. Use Caution/Monitor. Avoid vaccination during chemotherapy or radiation therapy if possible because antibody response might be suboptimal. Use Caution/Monitor. Serious - Use Alternative (1)mycophenolate decreases effects of measles (rubeola) vaccine by pharmacodynamic antagonism. immunosuppressive effects; risk of infection. Avoid or Use Alternate Drug. Avoid or Use Alternate Drug. Either increases levels of the other by decreasing renal clearance. Use Caution/Monitor. parecoxib will increase the level or effect of mycophenolate by acidic (anionic) drug competition for renal tubular clearance. Monitor Closely (1)diflunisal will increase the level or effect of mycophenolate by acidic (anionic) drug competition for renal tubular clearance. Serious - Use Alternative (1)mycophenolate decreases effects of rubella vaccine by pharmacodynamic antagonism. Avoid or Use Alternate Drug. mycophenolate decreases effects of meningococcal group B vaccine by pharmacodynamic antagonism. Black, tarry stools bladder pain bleeding gums bloating or swelling of the face, arms, hands, lower legs, or feet Viagra (sildenafil) the infamous "little blue pill" is an FDA-approved medication for people with erectile dysfunction that helps to improve blood flow to the penis. Effect of interaction is not clear, use caution. Modify Therapy/Monitor Closely. Monitor Closely (1)calcium carbonate will decrease the level or effect of mycophenolate by increasing gastric pH. Serious - Use Alternative (1)basiliximab and mycophenolate both increase immunosuppressive effects; risk of infection. Contraindicated. Contraindicated. mycophenolate decreases effects of dengue vaccine by immunosuppressive effects; risk of infection. mycophenolate decreases effects of human papillomavirus vaccine, quadrivalent by pharmacodynamic antagonism. Use Caution/Monitor. Difficulty falling asleep or staying asleep. Enteric coated mycophenolate sodium formulation is less sensitive to this interaction. Se recomienda una dosis de 10 mg poco antes de una relacin sexual (entre 25 minutos y 1 hora antes). Avoid or Use Alternate Drug. Use Caution/Monitor. Use Caution/Monitor. Levitra is not a cure for ED and you still need to be aroused . Avoid or Use Alternate Drug. Use Caution/Monitor. Probenecid may interfere with renal tubular secretion of mycophenolate active metabolites. tocilizumab and mycophenolate both increase immunosuppressive effects; risk of infection. When switching from drugs with prolonged immune effects, consider the half-life and mode of action of these drugs to avoid unintended additive immunosuppressive effects. Use Caution/Monitor. Use Caution/Monitor. Interaction only with oral iron administration. methyclothiazide will increase the level or effect of mycophenolate by acidic (anionic) drug competition for renal tubular clearance. Monitor Closely (1)tolfenamic acid will increase the level or effect of mycophenolate by acidic (anionic) drug competition for renal tubular clearance. Potential interaction applies to mycophenolate mofetil. Interaction only with oral iron administration. Monitor Closely (1)etodolac will increase the level or effect of mycophenolate by acidic (anionic) drug competition for renal tubular clearance. Concommitant administration with telmisartan may result in significant decrease in mycophenolic acid (MPA) concentrations; telmisartan changes MPA?s elimination by enhancing PPAR gamma (peroxisome proliferator-activated receptor gamma) expression, which in turn results in an enhanced UGT1A9 expression and activity. Serious - Use Alternative (1)mycophenolate decreases effects of diphtheria & tetanus toxoids/acellular pertussis/poliovirus, inactivated vaccine by pharmacodynamic antagonism. Immunosuppressants may interfere with development of active immunity. Avoid or Use Alternate Drug. ozanimod, mycophenolate. Clinical significance unclear. Monitor Closely (1)mycophenolate increases effects of fingolimod by immunosuppressive effects; risk of infection. Serious - Use Alternative (1)mycophenolate decreases effects of human papillomavirus vaccine, nonavalent by pharmacodynamic antagonism. Use Caution/Monitor. You will be able to enjoy the benefits of this medication. Vardenafil HCl is a nearly colorless, solid substance with a molecular weight of 579.1 g/mol and a solubility of 0.11 mg/mL in water. To help you remember, take it at the same times each day.Keep taking this medication even if you feel well. When using mycophenolate, men and women of childbearing age must use reliable forms of birth control. mycophenolate decreases effects of zoster vaccine recombinant by pharmacodynamic antagonism. nafcillin, mycophenolate. Immunosuppressants also increase risk of infection with concomitant live vaccines. Modify Therapy/Monitor Closely. . Vardenafil prices Oral Tablet Avoid or Use Alternate Drug. Monitor Closely (1)mycophenolate, methotrexate. How long does mycophenolate take to work? Use Caution/Monitor. Monitor Closely (1)lomustine and mycophenolate both increase immunosuppressive effects; risk of infection. Serious - Use Alternative (1)tocilizumab and mycophenolate both increase immunosuppressive effects; risk of infection. Pain, especially in the back, muscles or joints. Either increases levels of the other by decreasing renal clearance. Immunosuppressants may interfere with development of active immunity. mycophenolate, axicabtagene ciloleucel. Avoid or Use Alternate Drug. Either increases levels of the other by decreasing renal clearance. Modify Therapy/Monitor Closely. Contraindicated. Contraindicated. Other (see comment). Use Caution/Monitor. Use Caution/Monitor. Contraindicated. Either increases levels of the other by decreasing renal clearance. Cialis is taken as an oral tablet, either as a low dose daily medication or as a higher-dose "on-demand" medication. OVERDOSE: If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Isavuconazonium substrate (a UGT inhibitor) may increase exposure to mycophenolate mofetil (a UGT substrate). Modify Therapy/Monitor Closely. mycophenolate, upadacitinib. mycophenolate decreases effects of Japanese encephalitis virus vaccine by pharmacodynamic antagonism. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies. Contraindicated. Use Caution/Monitor. Monitor Closely (1)trastuzumab, mycophenolate. You may report side effects to FDA at 1-800-FDA-1088. In children, it is also based on body size.Use this medication regularly to get the most benefit from it. Concomitant therapy is expected to increase the risk of immunosuppression. Lemonaid can prescribe sildenafil (generic Viagra), tadalafil (generic Cialis), and vardenafil (generic Levitra). Contraindicated. . Clinical significance unclear. etanercept and mycophenolate both increase immunosuppressive effects; risk of infection. Avoid or Use Alternate Drug. mycophenolate decreases effects of rabies vaccine by pharmacodynamic antagonism. Individuals with altered immunocompetence may have reduced immune responses to the vaccine. Common side effects of Cialis and Viagra that are similar include flushing (redness or warmth of the face, neck, or chest), headaches, stomach pain or upset, flu-like symptoms (such as stuffy nose, sneezing, or sore throat ), memory problems, muscle or back pain, blurred vision and changes in color . In these cases, providers may choose to prescribe the medication off-label to help . Monitor Closely (1)ketoprofen will increase the level or effect of mycophenolate by acidic (anionic) drug competition for renal tubular clearance. Check specific recommendations for drugs that exhibit pH-dependent solubility that may affect their systemic exposure and efficacy. Use Caution/Monitor. Use Caution/Monitor. Avoid or Use Alternate Drug. Either increases toxicity of the other by immunosuppressive effects; risk of infection. being able to get an erection sometimes, but not every time you want to have sex. Contraindicated. mechlorethamine, mycophenolate. Drug may bind to magnesium ions in the GI tract, which decreases absorption; separate administration of drugs to minimize interaction. Monitor Closely (1)sodium zirconium cyclosilicate will decrease the level or effect of mycophenolate by increasing gastric pH. Avoid or Use Alternate Drug. Avoid or Use Alternate Drug. Women of childbearing age should ask about reliable forms of birth control while using this medication and for 6 weeks after the last dose. Immunosuppressants also increase risk of infection with concomitant live vaccines. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. Use Caution/Monitor. Avoid or Use Alternate Drug. Among people who take Viagra or sildenafil, 3% get blue vision that lasts a few hours. Applies only to oral form of both agents. Separate administration by at least 3 hr from patiromer. Do not double the dose to catch up. Use Caution/Monitor. The approved dosages of Cialis for ED, BPH symptoms, or both, are between 2.5 mg and 20 mg a day or as needed. Monitor Closely (1)dicloxacillin decreases levels of mycophenolate by decreasing metabolism. Interaction only with oral iron administration. The average cost for 10 Tablet (s), 20mg each of the generic (vardenafil hcl) is $556.49. ferrous fumarate decreases levels of mycophenolate by inhibition of GI absorption. Avoid or Use Alternate Drug. Serious - Use Alternative (1)mycophenolate decreases effects of influenza virus vaccine quadrivalent by pharmacodynamic antagonism. Monitor Closely (1)aspirin rectal will increase the level or effect of mycophenolate by acidic (anionic) drug competition for renal tubular clearance. Avoid or Use Alternate Drug. Mycophenolate mofetil (MMF) is an immunosuppressive drug widely used in solid organ transplantation, and it may play an increasing role in autoimmune disease. Applies only to oral form of both agents. PRECAUTIONS: See also Warning section.Before taking mycophenolate mofetil, tell your doctor or pharmacist if you are allergic to it; or to mycophenolic acid; or to mycophenolate sodium; or if you have any other allergies. Either increases effects of the other by immunosuppressive effects; risk of infection. colestipol will decrease the level or effect of mycophenolate by inhibition of GI absorption. Use Caution/Monitor. Contraindicated. Clinical significance unclear. Monitor Closely (1)ketorolac intranasal will increase the level or effect of mycophenolate by acidic (anionic) drug competition for renal tubular clearance. Either increases toxicity of the other by pharmacodynamic synergism. Either increases effects of the other by immunosuppressive effects; risk of infection. mycophenolate decreases effects of influenza virus vaccine quadrivalent, cell-cultured by pharmacodynamic antagonism. Use Caution/Monitor. Avoid or Use Alternate Drug. The orodispersible tablets must be taken without liquid. Levitra (vardenafil) is a prescription medication used to treat impotence (or erectile dysfunction, ED, the inability to attain or maintain a penile erection). This increased blood flow can cause an erection. mycophenolate decreases effects of measles mumps and rubella vaccine, live by pharmacodynamic antagonism. Use Caution/Monitor. It is available in brand and generic versions. Either increases effects of the other by immunosuppressive effects; risk of infection. informational and educational purposes only. . Although inter-racial differences exist regarding the appropriate dose and efficacy of MMF in patients with LN, no definitive meta-analysis has yet been conducted in Chinese patients. Discuss your options with your doctor or pharmacist. Either increases levels of the other by decreasing renal clearance. Enteric coated mycophenolate sodium formulation is less sensitive to this interaction. Other (see comment). mycophenolate decreases effects of pneumococcal vaccine heptavalent by pharmacodynamic antagonism. Serious - Use Alternative (1)mycophenolate decreases effects of hepatitis a/b vaccine by pharmacodynamic antagonism. Immunosuppressive therapies, including irradiation, antimetabolites, alkylating agents, cytotoxic drugs and corticosteroids (used in greater than physiologic doses), may reduce the immune response to cholera vaccine. Serious - Use Alternative (1)mycophenolate decreases effects of pneumococcal vaccine heptavalent by pharmacodynamic antagonism. Contraindicated. Many people using this medication do not have serious side effects.Tell your doctor right away if you have any serious side effects, including: unusual tiredness, fast/irregular heartbeat, easy bleeding/bruising, swelling of the feet or ankles, joint pain/stiffness, muscle pain.Get medical help right away if you have any very serious side effects, including: stomach/abdominal pain that doesn't go away, black stools, vomit that looks like coffee grounds, chest pain, shortness of breath/rapid breathing.This medication may increase your risk of getting a rare but very serious (possibly fatal) brain infection (progressive multifocal leukoencephalopathy-PML). Use Caution/Monitor. Modify Therapy/Monitor Closely. aluminum hydroxide will decrease the level or effect of mycophenolate by increasing gastric pH. Applies only to oral form of both agents. I found the 20 mg levitra dose to be still effective after 12 hours. Avoid or Use Alternate Drug. Immunosuppressants also increase risk of infection with concomitant live vaccines. mycophenolate, denosumab. Contraindicated. Make sure to talk to your healthcare provider . Either increases effects of the other by immunosuppressive effects; risk of infection. Serious side effects of Levitra include chest pain, low blood pressure, blurred vision and changes in . Use Caution/Monitor. Serious - Use Alternative (1)hydroxychloroquine sulfate and mycophenolate both increase immunosuppressive effects; risk of infection. Avoid or Use Alternate Drug. metolazone will increase the level or effect of mycophenolate by acidic (anionic) drug competition for renal tubular clearance. Serious - Use Alternative (1)mycophenolate decreases effects of human papillomavirus vaccine, quadrivalent by pharmacodynamic antagonism. Use Caution/Monitor. mycophenolate decreases effects of measles (rubeola) vaccine by pharmacodynamic antagonism. When switching from therapies with immune effects, take into account the duration and mechanism of action of these therapies when initiating ofatumumab SC. Other (see comment). Avoid or Use Alternate Drug. Modify Therapy/Monitor Closely. Use Caution/Monitor. Avoid vaccination during chemotherapy or radiation therapy if possible because antibody response might be suboptimal. Effect of interaction is not clear, use caution. Either increases effects of the other by pharmacodynamic synergism. Minor/Significance Unknown. Use Caution/Monitor. Contraindicated (1)cholestyramine decreases levels of mycophenolate by inhibition of GI absorption. Avoid or Use Alternate Drug. Serious - Use Alternative (1)mycophenolate and temsirolimus both increase immunosuppressive effects; risk of infection. Use Caution/Monitor. Monitor Closely (1)meloxicam will increase the level or effect of mycophenolate by acidic (anionic) drug competition for renal tubular clearance. Avoid or Use Alternate Drug. ketorolac will increase the level or effect of mycophenolate by acidic (anionic) drug competition for renal tubular clearance. Telan dengan meminum segelas air putih. Immunosuppressants also increase risk of infection with concomitant live vaccines. This drug is available at a middle level co-pay. choline magnesium trisalicylate will increase the level or effect of mycophenolate by acidic (anionic) drug competition for renal tubular clearance. Medications like Levitra known as PDE-5 inhibitors help relax smooth muscles in your penis to allow blood to flow in for an erection. Monitor Closely (1)esomeprazole will decrease the level or effect of mycophenolate by increasing gastric pH. Caution if coadministered because of additive immunosuppressive effects during such therapy and in the weeks following administration. Serious - Use Alternative (1)infliximab and mycophenolate both increase immunosuppressive effects; risk of infection. Monitor Closely (1)aminohippurate sodium will increase the level or effect of mycophenolate by acidic (anionic) drug competition for renal tubular clearance. Applies only to oral form of both agents. Use Caution/Monitor. Avoid or Use Alternate Drug. Serious - Use Alternative (1)iron sucrose decreases levels of mycophenolate by inhibition of GI absorption. Monitor Closely (1)magnesium supplement will decrease the level or effect of mycophenolate by Other (see comment). Enteric coated mycophenolate sodium formulation is less sensitive to this interaction. Diarrhea. Use Caution/Monitor. Use Caution/Monitor. Immunosuppressants also increase risk of infection with concomitant live vaccines. Consult your doctor for more details.Attend a transplant education class or support group. Monitor Closely (1)trastuzumab deruxtecan, mycophenolate. Modify Therapy/Monitor Closely. Contraindicated. Compare formulary status to other drugs in the same class. Do not stop taking mycophenolate without first talking to your doctor.Certain products may make it harder for your body to absorb mycophenolate if they are taken at the same time. Comment: Potential change of mycophenolic acid (MPA) exposure after crossover from cyclosporine to belatacept or from belatacept to cyclosporine in patients concomitantly receiving MMF. Contraindicated. Monitor Closely (1)mycophenolate will increase the level or effect of valganciclovir by acidic (anionic) drug competition for renal tubular clearance. ibuprofen IV will increase the level or effect of mycophenolate by acidic (anionic) drug competition for renal tubular clearance. Comment: Potential change of mycophenolic acid (MPA) exposure after crossover from cyclosporine to belatacept or from belatacept to cyclosporine in patients concomitantly receiving MMF.belatacept and mycophenolate both increase immunosuppressive effects; risk of infection. Interaction only with oral iron administration. 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