Vaccines<\/strong><\/p>\n\n\n\nIf you need to be vaccinated (with live vaccines) while you are taking CellCept, talk to your doctor or pharmacist first. Your doctor must then advise you on which vaccines you can get.
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You must not donate blood during treatment with CellCept and for at least 6 weeks after stopping treatment. Men are not allowed to donate semen during treatment with CellCept and for at least 90 days after stopping treatment.<\/p>\n\n\n\n
CellCept with food and drink<\/h2>\n\n\n\n
Intake of food and drink has no effect on treatment with CellCept.<\/p>\n\n\n\n
Pregnancy, contraception and breastfeeding<\/h2>\n\n\n\n
Use of contraceptives in women taking CellCept<\/strong><\/p>\n\n\n\nIf you are a woman and could become pregnant, you must use an effective method of contraception with CellCept. It includes:<\/p>\n\n\n\n
- Before you start taking CellCept<\/li>
- Throughout treatment with CellCept<\/li>
- For 6 weeks after stopping treatment with CellCept.<\/li><\/ul>\n\n\n\n
Talk to your doctor about the most suitable contraceptives for you. It depends on your own situation. Two forms of contraception are preferred as it reduces the risk of accidental pregnancy. Contact your doctor immediately if you think your contraceptive has not worked or if you have forgotten to take yourcontraceptive pill<\/em>.<\/strong>
<\/p>\n\n\n\nWomen who meet any of the following criteria cannot become pregnant:<\/p>\n\n\n\n
- You have passed menopause, ie at least 50 years old and your last period was more than a year ago (if your period has stopped due to treatment for cancer, there is a chance that you may become pregnant)<\/li>
- Your fallopian tubes and both ovaries have been surgically removed (bilateral salpingo-oophorectomy )<\/li>
- Your uterus has had surgery ( hysterectomy )<\/li>
- Your ovaries have stopped working (premature menopause determined by a gynecologist)<\/li>
- You have been born with any of the following conditions that are rare and that lead to the inability to conceive: XY genotype, Turner syndrome or congenital absence of uterus<\/li>
- You are a child or teenager who has not yet had your period.<\/li><\/ul>\n\n\n\n
Use of contraceptives in men taking CellCept<\/strong><\/p>\n\n\n\nAvailable data do not indicate an increased risk of birth defects or miscarriages if the father takes mycophenolate. However, the risk cannot be completely ruled out. As a precautionary measure, it is recommended that you or your female partner use reliable contraception during treatment and for a further 90 days after stopping CellCept.
<\/p>\n\n\n\n
If you are planning to have a baby, talk to your doctor about the potential risks and alternative treatments.
<\/p>\n\n\n\n
Pregnancy and breast-feeding<\/strong>
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. Your doctor will talk to you about the risks of pregnancy and what options you can take to prevent your transplanted organ from being rejected if:
<\/p>\n\n\n\n- You are planning to get pregnant.<\/li>
- You have skipped or think you have skipped a period, if you have unusual menstrual bleeding or if you think you are pregnant.<\/li>
- You have sex without using a safe method of contraception.<\/li><\/ul>\n\n\n\n
If you become pregnant during treatment with mycophenolate, you must inform your doctor immediately. However, keep taking CellCept until you see him or her.
<\/p>\n\n\n\n
Pregnancy<\/strong><\/p>\n\n\n\nMycophenolate causes a very high frequency of miscarriages (50%) and severe birth defects (23-27%) in the unborn baby. Fetal injuries that have been reported include malformations of the ears, eyes, face (cleft lip\/palate), malformations in the development of the fingers, heart, esophagus (the tube that connects the pharynx to the stomach), kidneys, and nervous system (such as spinal hernias). are properly developed)). Your child may have one or more of these birth defects.
<\/p>\n\n\n\n
If you are a woman and could become pregnant, you must perform a negative pregnancy test before starting treatment and you must follow your doctor’s instructions on contraception. Your doctor may require more than one test to make sure you are not pregnant before starting treatment.<\/p>\n\n\n\n
Breast-feeding<\/strong><\/p>\n\n\n\nDo not take CellCept if you are breast-feeding. This is because small amounts of the drug can pass into breast milk.<\/p>\n\n\n\n
Driving and using machines<\/h2>\n\n\n\n
CellCept has a moderate effect on your ability to drive or use tools or machines. If you feel drowsy, numb, or confused, talk to your doctor or nurse and do not drive or use any tools or machines until you feel better.<\/p>\n\n\n\n
This medicine contains less than 1 mmol (23 mg) sodium per capsule, ie essentially ‘sodium-free’.<\/h2>\n\n\n\n3. How to take CellCept<\/h2>\n\n\n\n
Always take CellCept exactly as your doctor has told you. Ask your doctor or pharmacist if you are unsure.
<\/p>\n\n\n\n
How much to take<\/strong><\/p>\n\n\n\nThe amount you should take depends on the type of transplant you have received. The usual dose is shown below. Treatment should continue for as long as you need to prevent rejection of the transplanted organ.
<\/p>\n\n\n\n
Kidney transplant<\/strong><\/p>\n\n\n\nAdults<\/em><\/p>\n\n\n\n- The first dose is given within 3 days after transplantation.<\/li>
- The daily dose is 8 capsules (2 g of the medicine) taken as 2 separate doses.<\/li>
- Take 4 capsules in the morning and 4 capsules in the evening.<\/li><\/ul>\n\n\n\n
Children (2 to 18 years)<\/em><\/p>\n\n\n\n- The dose one is given may vary depending on the size of the child.<\/li>
- Your doctor will determine the most appropriate dose based on your child’s height and weight (body area – measured as square meters or “m 2<\/sup> “). The recommended dose is 600 mg \/ m 2<\/sup> twice daily.<\/li><\/ul>\n\n\n\n
Heart transplant<\/strong><\/p>\n\n\n\nAdults<\/em><\/p>\n\n\n\n- The first dose is given within 5 days after transplantation.<\/li>
- The daily dose is 12 capsules (3 g of the medicine) taken as 2 separate doses.<\/li>
- Take 6 capsules in the morning and 6 capsules in the evening.<\/li><\/ul>\n\n\n\n
Children<\/em><\/p>\n\n\n\n- There is no information on the use of CellCept in children with a heart transplant.<\/li><\/ul>\n\n\n\n
Liver transplant<\/strong><\/p>\n\n\n\nAdults<\/em><\/p>\n\n\n\n- You will receive the first dose of oral CellCept at the earliest 4 days after the transplant and when you are able to swallow the medicine.<\/li>
- The daily dose is 12 capsules (3 g of the medicine) taken as 2 separate doses.<\/li>
- Take 6 capsules in the morning and 6 capsules in the evening.<\/li><\/ul>\n\n\n\n
Children<\/em><\/p>\n\n\n\n- There is no information on the use of CellCept in children with a liver transplant.<\/li><\/ul>\n\n\n\n
Taking the medicine<\/strong><\/p>\n\n\n\nSwallow your capsules whole along with a glass of water<\/p>\n\n\n\n