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Drug interactions

Mycophenolate mofetil + Polysaccharide iron

Severity: Moderate

Mycophenolate mofetil and Polysaccharide iron: 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

Oral iron given at the same time as mycophenolate may reduce absorption of mycophenolic acid in some reports, though other studies show no meaningful effect. The clinical impact is generally small but could matter in transplant recipients with borderline exposure.

What this interaction means in plain words

Mycophenolate mofetil and Polysaccharide iron 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

Possible binding or chelation of mycophenolate by iron in the gastrointestinal tract, reducing absorption.

What to do

Separate oral iron and mycophenolate 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 Mycophenolate mofetil with Polysaccharide iron?

MediHelp rates the interaction as moderate. Mycophenolate mofetil and Polysaccharide iron 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. Oral iron given at the same time as mycophenolate may reduce absorption of mycophenolic acid in some reports, though other studies show no meaningful effect. The clinical impact is generally small but could matter in transplant recipients with borderline exposure.

How serious is the interaction between Mycophenolate mofetil and Polysaccharide iron?

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 oral iron and mycophenolate 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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