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Drug interactions

Anakinra + Mycophenolate

Severity: Moderate

Anakinra and Mycophenolate: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Mycophenolate suppresses lymphocyte proliferation, and adding anakinra may increase susceptibility to bacterial, viral and opportunistic infections. The effect is additive but often manageable.

What this interaction means in plain words

Anakinra and Mycophenolate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Low

Why it happens

Additive immunosuppression from IL-1 blockade and inhibition of lymphocyte purine synthesis.

What to do

Monitor for infection and neutrophil counts, and stop or reduce therapy if a serious infection develops.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Anakinra with Mycophenolate?

MediHelp rates the interaction as moderate. Anakinra and Mycophenolate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Mycophenolate suppresses lymphocyte proliferation, and adding anakinra may increase susceptibility to bacterial, viral and opportunistic infections. The effect is additive but often manageable.

How serious is the interaction between Anakinra and Mycophenolate?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for infection and neutrophil counts, and stop or reduce therapy if a serious infection develops.

What other medicines interact with Anakinra?

MediHelp also lists interactions of Anakinra with, for example, Bcg vaccine live, Measles mumps and rubella vaccine, Measles mumps and rubella vaccine live. The full list is on the Anakinra page.

Full monographs, dosing and an interaction checker in the MediHelp app

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