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Drug interactions

Calcium carbonate + Mycophenolate mofetil

Severity: Moderate

Calcium carbonate and Mycophenolate mofetil: 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

Calcium-containing antacids may reduce mycophenolate absorption, though the effect is typically modest. Lower exposure could reduce immunosuppressive effect.

What this interaction means in plain words

Calcium carbonate and Mycophenolate mofetil 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.

Calcium carbonate belongs to Gastrointestinal Tract; Mycophenolate mofetil belongs to Miscellaneous.

Evidence level: Low

Why it happens

Reduced absorption via raised gastric pH and cation binding.

What to do

Separate administration by at least 2 hours and monitor for loss of immunosuppressive efficacy.

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 Calcium carbonate with Mycophenolate mofetil?

MediHelp rates the interaction as moderate. Calcium carbonate and Mycophenolate mofetil 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. Calcium-containing antacids may reduce mycophenolate absorption, though the effect is typically modest. Lower exposure could reduce immunosuppressive effect.

How serious is the interaction between Calcium carbonate and Mycophenolate mofetil?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Separate administration by at least 2 hours and monitor for loss of immunosuppressive efficacy.

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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