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Drug interactions

Antithymocyte globulin rabbit + Mycophenolate mofetil

Severity: Major

Antithymocyte globulin rabbit and Mycophenolate mofetil: major 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

Rabbit antithymocyte globulin causes profound T-cell depletion, and combined with mycophenolate the degree of immunosuppression is increased. Infection and malignancy risk rise, although the combination is standard in many transplant regimens.

What this interaction means in plain words

Antithymocyte globulin rabbit and Mycophenolate mofetil can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Evidence level: High

Why it happens

Additive immunosuppression from T-cell depletion and inhibition of lymphocyte proliferation.

What to do

Use only within established transplant protocols, with antiviral and antimicrobial prophylaxis and monitoring of white cell counts and infections.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Antithymocyte globulin rabbit with Mycophenolate mofetil?

MediHelp rates the interaction as major. Antithymocyte globulin rabbit and Mycophenolate mofetil can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Rabbit antithymocyte globulin causes profound T-cell depletion, and combined with mycophenolate the degree of immunosuppression is increased. Infection and malignancy risk rise, although the combination is standard in many transplant regimens.

How serious is the interaction between Antithymocyte globulin rabbit and Mycophenolate mofetil?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use only within established transplant protocols, with antiviral and antimicrobial prophylaxis and monitoring of white cell counts and infections.

What other medicines interact with Mycophenolate mofetil?

MediHelp also lists interactions of Mycophenolate mofetil with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal. The full list is on the Mycophenolate mofetil page.

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