Immutil S 180mg Tablet 10'S

Introduction About IMMUTIL S 180MG TABLET

IMMUTIL S 180MG TABLET contains Mycophenolate sodium which belongs to the group
of medicines called Immunosuppressants. It is used to manage your body rejecting
a transplanted organ (kidney). It is also given with other medications such as
corticosteroids and ciclosporin.

During management with IMMUTIL S 180MG TABLET, your doctor might advise you to
take regular blood tests to check white blood cell count to assess immunity
function of the body.

IMMUTIL S 180MG TABLET is not recommended for use if you are allergic to
mycophenolic acid, mycophenolate sodium, and mycophenolate mofetil.

It should be used with caution in patients with serious digestive problems (such
as stomach ulcer), who are scheduled for vaccination, intolerance to certain
sugars (such as lactose, galactose, or glucose), liver problems (such as history
of hepatitis B or C), and severe kidney problems.

It is not recommended for use in pregnant and breastfeeding women. IMMUTIL S
180MG TABLET is also not recommended for use in children and adolescents (below
18 years of age). Consult your doctor for advice.

It should be used with caution in elderly patients (aged 65 years and above).
The most common side effects associated with the use of IMMUTIL S 180MG TABLET
are bloating, constipation, indigestion, high blood pressure, anxiety,
diarrhoea, joint pain and dizziness. Consult your doctor if any of the symptoms
worsens.

Uses Of IMMUTIL S 180MG TABLET

• Used to manage your body rejecting a transplanted organ (kidney)

How IMMUTIL S 180MG TABLET Works

IMMUTIL S 180MG TABLET belongs to immunosuppressants which reduces the action of
the body's own defense system (the immune system) and manages rejection of the
transplanted organ.

How to use IMMUTIL S 180MG TABLET

Take IMMUTIL S 180MG TABLET as advised by your physician. Swallow the medicine
with a glass of water. Do not crush or chew the medicine. Your doctor will
decide the correct dose and duration for you depending upon your age, body
weight and disease condition.

Side Effects Of IMMUTIL S 180MG TABLET

Common

• low level of white blood cells
• low calcium levels
• constipation, feeling of skipped heart beats, weakness, or muscle damage (low potassium levels)
• severe pain in joints, joint stiffness, difficulty in moving the affected joints, redness, and swelling (high level of uric acid in the blood)
• high or low blood pressure
• anxiety
• diarrhoea
• joint pain
• tiredness, breathlessness, and skin paleness (anemia)
• abnormal eye movements, convulsions, muscle spasms, or weakness (low magnesium levels)
• dizziness, headache
• cough
• shortness of breath
• stomach pain
• bloating, constipation
• indigestion, flatulence
• loose stools
• nausea, vomiting
• fever
• respiratory infections
• acne
• weakness
• muscle pain
• swollen hands, ankles, or feet
• itching

Uncommon

• fast heartbeat, irregular heartbeat
• lymphocele (cyst enclosing lymph)
• trembling
• difficulty in sleeping
• blurred vision
• wheezing
• burping
• bad breath
• bowel blockage
• lip ulcers
• tongue discolouration
• dry mouth
• inflammation of the gums
• blockage of the salivary glands
• blood in urine
• pain and difficulty in passing urine
• hair loss
• skin bruising
• arthritis (inflammation of the joints)
• back pain
• muscle cramps
• loss of appetite
• increased blood sugar levels
• rigors (feeling of cold with shivering suddenly)
• increased thirst
• strange dreams, delusions
• loss of ability to get penile erection

Rare

Stop taking IMMUTIL S 180MG TABLET and contact your doctor if you experience any
of the following side effects:

• persistent cough or become breathlessness
• unexpected bruising or bleeding
• fever, chills, sweating, tiredness, drowsiness, or lack of energy
• signs of stomach or intestinal ulcers such as blood in vomit, black or bloody stools
• swelling of your glands, development of a new skin growth, enlargement of an existing skin growth, alterations in an existing mole
• signs of hepatitis B or C such as yellow skin and eyes, nausea, loss of appetite, and dark urine

How To Manage Side Effects

Headache:

Take rest and drink plenty of water. Avoid taking alcohol and skipping meals. Do
not strain your eyes by watching screen for long time. Consult your doctor if
the symptom does not improve.

Dizziness:

Lie down until the dizziness passes and get up slowly. Do not bend down
suddenly. Get a lot of rest. Walk slowly and carefully. Take plenty of fluids.
Avoid drinking coffee, alcohol, or smoking. Consult your doctor if the symptom
does not improve.

Diarrhoea:

Drink lot of fluids, such as water to keep yourself hydrated. Try to avoid
taking any medicine on your own to manage diarrhoea and consult your doctor if
the symptom gets worse.

Constipation:

Try to eat more high-fibre foods such as fresh fruit, vegetables, cereals, and
drink plenty of water. Try doing exercise regularly (going for a daily walk or
run). If this does not help, inform your doctor for receiving alternate
management for constipation.

Nausea and Vomiting:

Try to take IMMUTIL S 180MG TABLET with or just after a meal or a snack. Stick
to simple meals. Avoid eating oily, fried or spicy foods. Do not lie down or
sleep immediately after eating. Consult your doctor if the symptom gets worse.

Warning & Precautions

!### Pregnancy

IMMUTIL S 180MG TABLET is not recommended for use during pregnancy and in women
planning to become pregnant. Women with childbearing potential should confirm
with negative in pregnancy test and follow effective contrace
IMMUTIL S 180MG TABLET to avoid birth defects and miscarriage. Consult your
doctor before taking IMMUTIL S 180MG TABLET.

!### Breastfeeding

IMMUTIL S 180MG TABLET is not recommended for use in breastfeeding women as it
can pass into the breast milk. Consult your doctor taking IMMUTIL S 180MG
TABLET.

!### Driving and Using Machines

IMMUTIL S 180MG TABLET has no or negligible effect on your ability to drive and
use machines. Consult your doctor before taking IMMUTIL S 180MG TABLET.

!### Kidney

IMMUTIL S 180MG TABLET should be used with caution in patients with severe
kidney problems. Consult your doctor before taking IMMUTIL S 180MG TABLET.

!### Liver

IMMUTIL S 180MG TABLET should be used with caution in patients with a history of
hepatitis B or C (liver infection). Consult your doctor before taking IMMUTIL S
180MG TABLET.

!### Allergy

Do not take IMMUTIL S 180MG TABLET if you are allergic (hypersensitive) to
Mycophenolate sodium or to some sugars such as lactose, galactose, or glucose or
to other ingredients of this medicine.

!### Lungs

IMMUTIL S 180MG TABLET should be used with caution in patients with lung
diseases. Contact your doctor before taking IMMUTIL S 180MG TABLET.

Others

IMMUTIL S 180MG TABLET is not recommended for use if you:

• have hereditary enzyme deficiency such as Lesch-Nyhan (neurogenetic disorder) and Kelley-Seegmiller syndrome (partial deficiency of the enzyme hypoxanthine gu

Before taking IMMUTIL S 180MG TABLET, inform your doctor if you:

• have stomach ulcers
• are scheduled for any vaccination
• are intolerance to some sugars (including lactose, galactose, or glucose)

Use in pediatrics:

IMMUTIL S 180MG TABLET is not recommended for use in children due to lack of
data. Consult child’s doctor for advice.

Use in geriatrics:

IMMUTIL S 180MG TABLET should be used with caution in elderly patients (aged 65
years and above). Consult your doctor before taking IMMUTIL S 180MG TABLET.

Interactions

A. Drug-Drug Interactions:

Before taking IMMUTIL S 180MG TABLET, inform your doctor, if you are taking any
of the following medicines:

• other immunosuppressant medicines (used to manage organ rejection) Ex. azathioprine, tacrolimus, cyclosporine
• medicines used to manage high blood cholesterol levels (Ex. cholestyramine)
• activated charcoal (medicine used to manage digestive problems such as diarrhoea, upset stomach, and gas)
• medicines used manage acidity such as antacids (Ex. magnesium salts, aluminium salts)
• medicines used to manage viral infections (Ex. acyclovir, ganciclovir)

Overdosage:

If you or anyone else accidentally takes too much of IMMUTIL S 180MG TABLET,
consult your doctor immediately or visit the nearby hospital.

Synopsis

Drug	:	Mycophenolate sodium
Pharmacological Category	:	Immunosuppressants
Therapeutic Indication	:	Prevents your body from rejecting a transplanted organ
Dosage Forms	:	Tablet, Capsule, Suspension, Oral suspension

More Information

• Keep IMMUTIL S 180MG TABLET out of reach of children
• Store IMMUTIL S 180MG TABLET at room temperature

FAQs About IMMUTIL S 180MG TABLET

What is IMMUTIL S 180MG TABLET used for?

IMMUTIL S 180MG TABLET is used alone or with other medicines containing
ciclosporin and corticosteroids to stop the body’s immune system from rejecting
a kidney transplant in transplanted individuals.

What common side effects are seen with IMMUTIL S 180MG TABLET?

The most common side effects associated with the use of IMMUTIL S 180MG TABLET
are bloating, constipation, indigestion, high blood pressure, anxiety,
diarrhoea, pain in joints, and dizziness. Consult your doctor if any of the
symptom worsens.

Who should avoid taking IMMUTIL S 180MG TABLET?

IMMUTIL S 180MG TABLET is not recommended for use if you are allergic to
mycophenolic acid, mycophenolate sodium, and mycophenolate mofetil. IMMUTIL S
180MG TABLET is also not recommended for use in pregnant and breast-feeding
women. Consult your doctor before taking IMMUTIL S 180MG TABLET.

HowIMMUTIL S 180MG TABLET works?

IMMUTIL S 180MG TABLET belongs to immunosuppressants which reduces the action of
the body's own defense system (the immune system) and manages rejection of the
transplanted organ.

What happens if I forget to take IMMUTIL S 180MG TABLET dose?

You should take IMMUTIL S 180MG TABLET immediately when you remember. If it is
time for your next dose skip the missed dose and follow your regular dose
schedule. Do not double the dose of IMMUTIL S 180MG TABLET to match up your
missed dose.

Is IMMUTIL S 180MG TABLET safe to use in children or elderly patients?

No, IMMUTIL S 180MG TABLET is not recommended for use in children due to lack of
data. It should be used with caution in elderly patients (aged 65 years and
above) after consulting the doctor.

Is IMMUTIL S 180MG TABLET safe to use during pregnancy?

IMMUTIL S 180MG TABLET is not recommended for use during pregnancy and in women
planning to become pregnant. Women with childbearing potential should confirm
with negative in pregnancy test and follow effective contrace
IMMUTIL S 180MG TABLET to avoid birth defects and miscarriage. Consult your
doctor before taking IMMUTIL S 180MG TABLET.