MYCOSAN M 500mg Tablet 10's

Introduction About MYCOSAN M 500MG TABLET

MYCOSAN M 500MG TABLET contains Mycophenolate mofetil which belongs to the group
of medicines called Immunosuppressive agents. It is used to manage the body
rejecting a transplanted organ (such as kidney, heart, and liver). It is also
given with other medications such as corticosteroids and ciclosporin.

Your doctor will perform some regular blood tests to monitor any changes in the
body. MYCOSAN M 500MG TABLET may increases the risk of skin cancer. Limit your
exposure to sunlight and ultraviolet light by covering the exposed areas of skin
as much as possible and by applying sunscreen with a high protective factor.
MYCOSAN M 500MG TABLET can cause birth defects and miscarriage, hence it is
strictly not recommended for use in pregnant women and breastfeeding women.

MYCOSAN M 500MG TABLET is not recommended for use in children under 2 years of
age. Contact your doctor before taking. MYCOSAN M 500MG TABLET should be used
with caution in elderly patients aged 65 years or above. Contact your doctor
before taking MYCOSAN M 500MG TABLET. The most common side effects of taking
MYCOSAN M 500MG TABLET are nausea, vomiting, diarrhea, stomach pain, headache,
high blood pressure, and low number of white blood cells. Contact your doctor if
the above side effects worsen.

Uses Of MYCOSAN M 500MG TABLET

• Used to manage the body rejecting a transplanted organ (such as kidney, heart, and liver)

How MYCOSAN M 500MG TABLET Works

MYCOSAN M 500MG 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 MYCOSAN M 500MG TABLET

Take MYCOSAN M 500MG TABLET as advised by your physician. Swallow the medicines
with a glass of water. Do not crush or chew the medicine. Your dosage will vary
depending on the type of transplant you received. Do not stop the medicine
suddenly without the concern of your doctor.

Side Effects Of MYCOSAN M 500MG TABLET

Common

• decreased in white blood cells
• decrease in calcium levels of blood
• abnormal potassium levels in the blood (high or low)
• raised uric acid levels in the blood
• high or low blood pressure
• anxiety
• diarrhoea
• joint or muscle pain
• tiredness, shortness of breath and pale skin (decrease in red blood cells)
• unexpected bleeding and bruising (decrease in blood platelets)
• hypomagnesemia (decrease in magnesium levels of blood)
• dizziness
• headache
• cough
• shortness of breath
• stomach pain, inflammation of the lining of the stomach, abdominal bloating, constipation, indigestion, flatulence, loose stools, nausea, vomiting
• tiredness
• fever
• respiratory infection
• acne
• weakness
• swelling of hands, ankles, or feet
• itching

Uncommon

• fast heartbeat or irregular heartbeat
• fluid in the lungs
• presence of cyst in lymph
• trembling, difficulty in sleeping
• conjunctivitis, blurry vision
• bad breath, gas formation, intestinal blockage, ulcers on lips, heartburn, discoloration of tongue, dry mouth, inflammation of the gums
• loss of appetite
• wheezing
• blockage of salivary glands
• elevated lipid levels
• increase in blood glucose levels or blood cholesterol levels
• strange dreams, delusions
• pain, rigors
• inability to keep an erection
• cough, difficulty breathing, painful breathing
• fever, chills, nausea, vomiting, low body temperature, fast heartbeat

Stop taking MYCOSAN M 500MG TABLET and contact your doctor immediately if you
experience any of the following side effects:

• yellowish discoloration of skin and whites of eyes, nausea, loss of appetite and dark urine
• persistent cough or become breathlessness
• signs of infection such as fever, chills, sore throat, sweating, feeling tired, drowsy, or lack of energy
• blood vomit blood or blood in stools due stomach, or intestinal ulcer
• swelling of glands, development of a new skin growth or enlargement of an existing skin growth, or changes in an existing mole, may lead to development of cancer of the skin or lymph nodes
• rashes, swelling of face, lips, tongue or throat causing difficulty breathing

How To Manage Side Effects

!### Diarrhea

Drink plenty of water and fruit juice to keep yourself hydrated. Contact your
doctor if the diarrhea did not improve.

!### Dizziness Or Drowsiness

Try to rest and relax. Get enough sleep. Avoid driving or operate any machines
while you are feeling dizzy. Do not drink alcohol, as it can aggravate your
dizziness. Contact your doctor if the dizziness did not improve.

Headache

Rest and relax. Drink plenty of fluids such as water and electrolytes. Apply a
pain-relieving balm on the head if necessary. Do not consume alcohol. Contact
your doctor if the headache did not improve.

!### Nausea And Vomiting

Take the medicine, with or just after a meal. Stick to simple meals. Avoid
eating oily or spicy food. Contact your doctor if nausea and vomiting did not
improve.

!### Stomach Pain

Try to rest and relax. Eat small meals but take frequently. Keep a heat pad on
your stomach. Contact your doctor if the stomach pain did not improve.

Warning & Precautions

!### Pregnancy

ContraindicatedMYCOSAN M 500MG TABLET is not recommended for use in pregnant women. Inform your
doctor if you are planning to have a child before taking this medicine. Contact
your doctor before taking MYCOSAN M 500MG TABLET.

!### Breastfeeding

ContraindicatedMYCOSAN M 500MG TABLET is generally not recommended for use in breastfeeding
women, hence small amounts of the medicine can pass into the mother’s milk.
Contact your doctor before taking MYCOSAN M 500MG TABLET.

!### Driving and Using Machines

Use with CautionDo not drive or operate any machines if you feel drowsiness, somnolence,
dizziness, tremor, low blood pressure, numb or confusion after taking MYCOSAN M
500MG TABLET.

!### Kidney

Use with CautionMYCOSAN M 500MG TABLET should be used with caution in patients with kidney
diseases. Contact your doctor before taking MYCOSAN M 500MG TABLET.

!### Liver

Use with CautionMYCOSAN M 500MG TABLET should be used with caution in patients with liver
diseases. Contact your doctor before taking MYCOSAN M 500MG TABLET.

!### Allergy

ContraindicatedDo not take MYCOSAN M 500MG TABLET if you are allergic (hypersensitive) to
Mycophenolate mofetil, or to some sugars such as lactose, galactose, or glucose
or to other ingredients of this medicine.

!### Lungs

Use with CautionMYCOSAN M 500MG TABLET should be used with caution in patients with lung
diseases. Contact your doctor before taking MYCOSAN M 500MG TABLET.

!### Heart Disease

Use with CautionMYCOSAN M 500MG TABLET should be used with caution in patients with heart
diseases. Contact your doctor before taking MYCOSAN M 500MG TABLET.

!### Use In Pediatrics

ContraindicatedMYCOSAN M 500MG TABLET is not recommended for use in children under the age of
2, because there is limited information on its safety and effectiveness. Contact
your doctor before taking MYCOSAN M 500MG TABLET.

!### Use In Geriatrics

Use with CautionMYCOSAN M 500MG TABLET should be used with caution in elderly patients aged 65
years or above. Contact your doctor before taking MYCOSAN M 500MG TABLET.

Others

MYCOSAN M 500MG 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 MYCOSAN M 500MG TABLET, inform your doctor if you:

• have any unexpected bruising (skin discoloration from a skin or tissue injury) or bleeding
• have digestive problems (such as a stomach ulcer)
• have a rare problem with your metabolism called phenylketonuria (hereditary condition that results in an accumulation of the phenylal
• are planning to get live vaccinations
• have Hepatitis B or C infections
• have skin cancer or lymphoma

Interactions

A. Drug-Drug interactions:

Before taking MYCOSAN M 500MG TABLET, inform your doctor if you are taking any
of the following medicine:

• azathioprine, tacrolimus, belatacept, cyclosporine A (suppress your immune system given after a transplant operation)
• cholestyramine (medicine used to manage high cholesterol)
• rifampicin (medicines used to manage infections such as TB)
• medicines used to manage ulcer problems (antacids such as aluminium hydroxide, magnesium hydroxide, sodium bicarbonate, calcium carbonate or proton pump inhibitors such as omeprazole, rabeprazole, pantoprazole)
• phosphate binders (used to reduce phosphate absor
• antibiotics (medicines used to manage bacterial infections) amoxicillin and clavul
• isavuconazole (medicine used to manage fungal infections)
• telmisartan (medicine used to manage high blood pressure)
• activated charcoal (used to manage digestive problems)
• acyclovir or ganciclovir (medicines used to manage viral infections)
• oral contrace
• probenecid (medicines used to manage gout)
• iron salts such as Ex. ferrous sulphate (medicines used to manage iron deficiency)

Overdosage:

If you or anyone else accidentally takes too much of MYCOSAN M 500MG TABLET,
consult your doctor immediately or visit the nearby hospital. Symptoms include
nausea, vomiting, diarrhea, and neutropenia.

Synopsis

Drug	:	Mycophenolate mofetil
Pharmacological Category	:	Immunosuppressants
Therapeutic Indication	:	Used to manage the body rejecting a transplanted organ (such as kidney, heart, and liver)
Dosage Forms	:	Tablet, Capsule, Suspension, Oral suspension

More Information

Storage

• Keep MYCOSAN M 500MG TABLET out of the sight and reach of children
• Store MYCOSAN M 500MG TABLET below 30°C

FAQs About MYCOSAN M 500MG TABLET

Q: What is MYCOSAN M 500MG TABLET used for?

A: MYCOSAN M 500MG TABLET is used to manage your body from rejecting an organ
transplant (such as kidney, heart, and liver). Contact your doctor before taking
MYCOSAN M 500MG TABLET.

Q: Can I use MYCOSAN M 500MG TABLET in pregnancy?

A: No. MYCOSAN M 500MG TABLET is strictly not recommended for use in pregnant
women unless considered necessary. Contact your doctor before taking MYCOSAN M
500MG TABLET.

Q: Is MYCOSAN M 500MG TABLET safe?

A: Yes, MYCOSAN M 500MG TABLET is safe and well tolerated. Contact your doctor
before taking.

Q: Can I use MYCOSAN M 500MG TABLET in children?

A: No, MYCOSAN M 500MG TABLET is not recommended for use in children under the
age of 2, because there is limited information on its safety and effectiveness
for them. Contact your doctor before taking.

Q: How MYCOSAN M 500MG TABLET work?

A: MYCOSAN M 500MG 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.

Q: Can I use MYCOSAN M 500MG TABLET while breast feeding?

A: No. MYCOSAN M 500MG TABLET is generally not recommended for use in
breastfeeding women, small amounts of the medicine can pass into the mother’s
milk. Contact your doctor before taking it.

Useful Diagnostic Tests

• Complete blood count
• Liver function test
• Kidney function test