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Drug interactions

Magnesium supplement + Mycophenolate mofetil

Severity: Moderate

Magnesium supplement 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

Magnesium-containing products can reduce mycophenolate absorption, lowering mycophenolic acid exposure and possibly raising rejection risk.

What this interaction means in plain words

Magnesium supplement 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.

Evidence level: Moderate

Why it happens

Magnesium ions bind mycophenolate in the gut, reducing absorption.

What to do

Separate mycophenolate from magnesium supplements by at least 2 hours, and monitor for reduced 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 Magnesium supplement with Mycophenolate mofetil?

MediHelp rates the interaction as moderate. Magnesium supplement 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. Magnesium-containing products can reduce mycophenolate absorption, lowering mycophenolic acid exposure and possibly raising rejection risk.

How serious is the interaction between Magnesium supplement 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 mycophenolate from magnesium supplements by at least 2 hours, and monitor for reduced 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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