Drug General Information (ID: DDIP83WXHM)
  Drug Name Mycophenolate mofetil Drug Info Rabeprazole Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Immunosuppressive Agents Antiulcer Agents
  Structure

 Mechanism of Mycophenolate mofetil-Rabeprazole Interaction (Severity Level: Moderate)
     Altered gastric pH Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Mycophenolate mofetil Rabeprazole
      Mechanism Gastric pH sensitive Gastric alkalinizer
      Key Mechanism Factor 1
Factor Name Gastric pH
Factor Description The normal pH range of gastric acid is between 1.5 and 3.5 and is highly acidic, consisting mainly of hydrochloric acid. Changes in the pH of the stomach can alter the absorption of drugs.
      Mechanism Description
  • Decreased absorption of Mycophenolate mofetil due to altered gastric pH caused by Rabeprazole 

Recommended Action
      Management Because clinical relevance of this interaction has not been established, proton pump inhibitors should be used with caution in transplant patients receiving mycophenolate mofetil.

References
1 Product Information. CellCept (mycophenolate mofetil). Roche Laboratories, Nutley, NJ.
2 Product Information. Myfortic (mycophenolic acid). Novartis Pharmaceuticals, East Hanover, NJ.