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Mycophenolic acid

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689: 666: 51: 1300: 1356:. This was the first antibiotic that was isolated in pure and crystalline form. But the discovery was forgotten. It was rediscovered by two American scientists C.L. Alsberg and O.M. Black in 1912, and given the name mycophenolic acid. The compound was eventually demonstrated to have antiviral, antifungal, antibacterial, anticancer, and antipsoriasis activities. Although it is not commercialised as antibiotic due to its adverse effects, its modified compound (ester derivative) is an approved 42: 5398: 1395:. He conceived an idea that if a molecule that could block the enzyme is discovered, then, it would become an immunosuppressive drug that could be used for autoimmune diseases and in organ transplantation. In 1981 he decided to go for drug discovery and approached several pharmaceutical companies, which turned him down one by one as he had no primary knowledge of drug research. However, 1399:
liked his plans and asked him to join the company with his wife. He became vice president for the research. In one of their experiments the Allisons used an antibacterial compound, mycophenolate mofetil, which was abandoned in clinical use due to its adverse effects. They discovered that the compound
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bolus therapy, a regimen with risk of bone marrow suppression, infertility, and malignancy. Further work addressing maintenance therapy demonstrated mycophenolate superior to cyclophosphamide, again in terms of response and side-effects. Walsh proposed that mycophenolate should be considered as a
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had immunosuppressive activity. They synthesised a chemical variant for increased activity and reduced adverse effects. They subsequently demonstrated that it was useful in organ transplantation in experimental rats. After successful clinical trials, the compound was approved for use in
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purine synthesis. In contrast, many other cell types use both pathways, and some cells, such as terminally differentiated neurons, depend completely on purine nucleotide salvage. Thus, use of mycophenolic acid leads to a relatively selective inhibition of
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Remuzzi G, Lesti M, Gotti E, Ganeva M, Dimitrov BD, Ene-Iordache B, et al. (2004). "Mycophenolate mofetil versus azathioprine for prevention of acute rejection in renal transplantation (MYSS): a randomised trial".
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nature of the drug. Mycophenolate sodium is also commonly associated with fatigue, headache, cough and/or breathing issues. Intravenous (IV) administration of mycophenolate mofetil is also commonly associated with
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rejection in children over 2 years; whereas mycophenolate sodium is indicated for the prevention of kidney transplant rejection in adults. Mycophenolate sodium has also been used for the prevention of rejection in
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in 1893. It was rediscovered in 1945 and 1968. It was approved for medical use in the United States in 1995 following the discovery of its immunosuppressive properties in the 1990s. It is available as a
1352:.) In 1893 he found that the fungus had antibacterial activity. In 1896 he isolated crystals of the compound, which he successfully demonstrated as the active antibacterial compound against the 3480:
Bechstein WO, Suzuki Y, Kawamura T, Jaffee B, Allison A, Hullett DA, et al. (1992). "Low-dose combination therapy of DUP-785 and RS-61443 prolongs cardiac allograft survival in rats".
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occur: melanoma, lymphoma, other malignancies having an occurrences of 1 in 20 to 1 in 200, depending on the type, with neoplasia in the skin being the most common site. Several cases of
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it has higher incidence of diarrhea, and no difference in risk of any of the other side effects in transplant patients. Mycophenolic acid is 15 times more expensive than azathioprine.
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Anderson HA, Bracewell JM, Fraser AR, Jones D, Robertson GW, Russell JD (December 1988). "5-Hydroxymaltol and mycophenolic acid, secondary metabolites from Penicillium echinulatum".
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might have benefits in people with multiple sclerosis. However the evidence is insufficient to determine the effects as an add‐on therapy for interferon beta-1a in people with RRMS.
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Mycophenolic acid is associated with miscarriage and congenital malformations when used during pregnancy, and should be avoided whenever possible by women trying to get pregnant.
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Fulton B, Markham A (February 1996). "Mycophenolate mofetil. A review of its pharmacodynamic and pharmacokinetic properties and clinical efficacy in renal transplantation".
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Taylor DO, Ensley RD, Olsen SL, Dunn D, Renlund DG (1994). "Mycophenolate mofetil (RS-61443): preclinical, clinical, and three-year experience in heart transplantation".
2364:"Mycophenolate mofetil decreases acute rejection and may improve graft survival in renal transplant recipients when compared with azathioprine: a systematic review" 1602: 262: 1481: 752: 2463: 810: 3281:
Nelson PH, Eugui E, Wang CC, Allison AC (February 1990). "Synthesis and immunosuppressive activity of some side-chain variants of mycophenolic acid".
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associated nephropathy. In addition the FDA is investigating 16 people that developed a rare neurological disease while taking the drug. This is a
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Allison AC, Eugui EM (December 1993). "Immunosuppressive and other effects of mycophenolic acid and an ester prodrug, mycophenolate mofetil".
5428: 2272:"Comparative effectiveness of immunosuppressive drugs and corticosteroids for lupus nephritis: a systematic review and network meta-analysis" 156: 3622: 3591: 5265: 5123: 3966: 766: 2601: 2545: 2515: 1981: 1424:. The salt mycophenolate sodium has also been introduced. Enteric-coated mycophenolate sodium (EC-MPS) is an alternative MPA formulation. 5275: 4961: 4402: 2204: 2027: 1379:, Allison investigated the biochemical causes of immune deficiency in children. He discovered the metabolic pathway involving an enzyme, 1792: 1520: 2081: 1172: 1106: 882: 1376: 4882: 1823: 207: 1939: 1752: 1722: 1700: 1670: 1640: 5423: 3034: 2649: 2198: 2117: 2057: 2021: 1975: 1556: 817: 17: 3040: 5443: 1408:
on 3 May 1995, and was sold under the brand name CellCept. It was approved for use in the European Union in February 1996.
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Among the most common effects of this drug is increased blood cholesterol levels. Other changes in blood chemistry such as
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along with a number of other medications. Specifically it has also be used for psoriasis not treatable by other methods.
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Allison AC, Eugui EM (February 1996). "Purine metabolism and immunosuppressive effects of mycophenolate mofetil (MMF)".
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InChI=1S/C17H20O6/c1-9(5-7-13(18)19)4-6-11-15(20)14-12(8-23-17(14)21)10(2)16(11)22-3/h4,20H,5-8H2,1-3H3,(H,18,19)/b9-4+
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Common side effects include nausea, infections, and diarrhea. Other serious side effects include an increased risk of
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in kidney, heart, and liver transplantations, and is marketed under the brands CellCept (mycophenolate mofetil by
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Bentley R (October 2000). "Mycophenolic Acid: a one hundred year odyssey from antibiotic to immunosuppressant".
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Allison AC, Eugui EM (1993). "The design and development of an immunosuppressive drug, mycophenolate mofetil".
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Allison AC, Kowalski WJ, Muller CD, Eugui EM (November 1993). "Mechanisms of action of mycophenolic acid".
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Mycophenolate is potent and can, in many contexts, be used in place of the older anti-proliferative
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first-line induction therapy for treatment of lupus nephritis in people without kidney dysfunction.
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Mycophenolate mofetil is beginning to be used in the management of auto-immune disorders such as
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from free nucleotides. Mycophenolic acid is a potent, reversible, non-competitive inhibitor of
1056: 942: 614: 451:)-6-(4-Hydroxy-6-methoxy-7-methyl-3-oxo-1,3-dihydro-2-benzofuran-5-yl)-4-methylhex-4-enoic acid 386: 2231:"Rediscovering mycophenolic acid: a review of its mechanism, side effects, and potential uses" 2188: 2011: 971: 5055: 2698:
Fu R, Ceballos-Picot I, Torres RJ, Larovere LE, Yamada Y, Nguyen KV, et al. (May 2014).
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has demonstrated more frequent complete response and less frequent complications compared to
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Dooley MA, Jayne D, Ginzler EM, Isenberg D, Olsen NJ, Wofsy D, et al. (November 2011).
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Allison AC (May 2000). "Immunosuppressive drugs: the first 50 years and a glance forward".
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Eugui EM, Allison AC (June 1993). "Immunosuppressive activity of mycophenolate mofetil".
2667: 1551:(in German) (62nd ed.). Vienna: Österreichischer Apothekerverlag. pp. 1484–95. 1384: 1365: 1138: 967: 460: 251: 3925: 3898: 3329: 3243: 3079: 1633:"CellCept 1g/5ml powder for oral suspension - Summary of Product Characteristics (SmPC)" 688: 665: 5225: 4326: 3874: 3847: 3705: 3592:"Risk Evaluation and Mitigation Strategy (REMS) Under Review for CellCept and Myfortic" 3523:
Kawamura T, Hullett DA, Suzuki Y, Bechstein WO, Allison AM, Sollinger HW (April 1993).
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Regueira TB, Kildegaard KR, Hansen BG, Mortensen UH, Hertweck C, Nielsen J (May 2011).
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D'Cruz DP, Khamashta MA, Hughes GR (February 2007). "Systemic lupus erythematosus".
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Walsh M, James M, Jayne D, Tonelli M, Manns BJ, Hemmelgarn BR (September 2007).
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Chan JF, Chan KH, Kao RY, To KK, Zheng BJ, Li CP, et al. (December 2013).
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Mimouni D, Anhalt GJ, Cummins DL, Kouba DJ, Thorne JE, Nousari HC (June 2003).
3525:"Enhancement of allograft survival by combination RS-61443 and DUP-785 therapy" 1323: 1126: 3493: 2862:"Mycophenolate versus azathioprine as maintenance therapy for lupus nephritis" 2861: 2288: 5412: 5365: 5295: 5205: 5112: 4898: 4598: 4520: 4472: 4452: 4310: 4226: 4077: 4043: 2888: 1284: 1026:(≥ 1% of people) include diarrhea, nausea, vomiting, joint pain; infections, 677: 5375: 5335: 5320: 5315: 5031: 4981: 4976: 4956: 4836: 4831: 4694: 4679: 4627: 4603: 4550: 4427: 4417: 4236: 4153: 4148: 4106: 4059: 4016: 3983: 3934: 3883: 3832: 3807:"Inhibition of dengue virus replication by mycophenolic acid and ribavirin" 3791: 3782: 3765: 3750: 3701: 3501: 3216: 3140: 3105: 2958: 2897: 2817:
Ransom JT (December 1995). "Mechanism of action of mycophenolate mofetil".
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It is also being used as a long-term therapy for maintaining remission of
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Kitchin JE, Pomeranz MK, Pak G, Washenik K, Shupack JL (September 1997).
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Mycophenolate is increasingly utilized as a steroid sparing treatment in
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Takhampunya R, Ubol S, Houng HS, Cameron CE, Padmanabhan R (July 2006).
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values of 5.6 for the morpholino moiety and 8.5 for the phenolic group.
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mycophenolate mofetil (MMF, trade name CellCept) to improve oral
1417: 1304: 1205: 1201: 3619:"New Agent to Prevent Kidney Transplant Rejection Now Available" 5093: 4924: 1603:"Pharmacor mycophenolate, mycocell, alcept (Pharmacor Pty Ltd)" 1471: 1396: 1375:
and his wife Elsie M. Eugui. In the 1970s while working at the
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to the active moiety mycophenolic acid. It reversibly inhibits
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Mycophenolic acid was discovered by Italian medical scientist
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Knight SR, Russell NK, Barcena L, Morris PJ (March 2009).
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MMF and EC-MPS appear to be equal in benefits and safety.
1383:, which is responsible for undesirable immune response in 1342:. Gosio collected a fungus from spoiled corn and named it 98: 4621: 3722: 3026:
Natural Products: Drug Discovery and Therapeutic Medicine
1860: 1480:. It has also shown promising antiviral activity against 1327: 104: 89: 2644:. Lippincott Williams & Wilkins. 2014. p. 625. 2270:
Singh JA, Hossain A, Kotb A, Wells GA (September 2016).
1047:. Infrequent adverse effects (0.1–1% of people) include 2410: 1513:"Mycophenolate mofetil (CellCept) Use During Pregnancy" 3763: 3280: 2937:
International Journal of Clinical Practice. Supplement
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Clinical Journal of the American Society of Nephrology
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Mycophenolic acid was initially discovered by Italian
5386: 3563: 2269: 1458:, though thus far, studies have found it inferior to 1371:
Cellcept was developed by a South African geneticist
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Lipsky JJ (November 1996). "Mycophenolate mofetil".
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Mycophenolate mofetil is metabolised in the 3960: 3845: 3566:The Journal of Heart and Lung Transplantation 2773: 2016:. Gulf Professional Publishing. p. 236. 1771: 1187:(IMP). IMPDH inhibition particularly affects 1109:; it attacks the brain and is usually fatal. 1005: 978:, immunoglobulin A nephropathy, small vessel 3436: 3393: 3366: 3315: 2924: 2224: 2222: 1753:"Myhibbin- mycophenolate mofetil suspension" 1535: 1216:Mycophenolate can be derived from the fungi 934:Mycophenolate is used for the prevention of 206: 3903:The Cochrane Database of Systematic Reviews 3022: 2973: 2810: 2112:. Adelaide: Australian Medicines Handbook. 1932:"Mycophenolate Monograph for Professionals" 1926: 1924: 1922: 1920: 1918: 1916: 1914: 1912: 1910: 358:In general: ℞ (Prescription only) 3967: 3953: 3651:. F. Hoffmann-La Roche Ltd. Archived from 3318:Annals of the New York Academy of Sciences 3232:Annals of the New York Academy of Sciences 3029:. 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John Wiley & Sons. p. PT3219. 1874: 573: 2131: 2129: 2050:British national formulary : BNF 76 1907: 1856: 1854: 1852: 1466:has been found to stop infection by and 1364:) and Myfortic (mycophenolate sodium by 1298: 3674:van Gelder T, Hesselink DA (May 2015). 3194: 3118: 2931:Zhang W, Ding C, Zheng S (April 2014). 2096: 1996: 1954: 1246:that controls the rate of synthesis of 993:Its increasing application in treating 660: 533: 179: 14: 5411: 3667: 3616: 3068:Applied and Environmental Microbiology 2979: 2816: 2767: 2186: 1818: 1816: 1814: 1812: 1810: 1703:from the original on 25 September 2020 1673:from the original on 25 September 2020 1643:from the original on 25 September 2020 1607:Therapeutic Goods Administration (TGA) 1191:since they rely almost exclusively on 1173:inosine-5′-monophosphate dehydrogenase 1144: 678: 350: 325: 3948: 3594:. U.S. Food and Drug Administration. 3153: 2665:Parnham FP, Nijkamp MJ, eds. (2005). 2627: 2314: 2126: 2105: 2042: 1849: 1546: 1462:. A combination of mycophenolate and 1451:(PV) with success for some patients. 961: 633: 613: 338: 197: 165: 147: 5429:Drugs developed by Hoffmann-La Roche 3396:Springer Seminars in Immunopathology 3147: 2608:from the original on 19 October 2010 2576:"FDA Issues Second CellCept Warning" 1733:from the original on 24 October 2020 1523:from the original on 28 October 2019 1175:(IMPDH), an enzyme essential to the 854:. Specifically it is used following 274: 125:Cellcept, Myfortic, Myhibbin, others 3584: 2866:The New England Journal of Medicine 2642:Pharmacology North American Edition 2556:from the original on 21 August 2009 2526:from the original on 21 August 2009 1807: 1583:from the original on 8 January 2023 1437:idiopathic thrombocytopenic purpura 1416:It was initially introduced as the 1381:inosine monophosphate dehydrogenase 1240:inosine monophosphate dehydrogenase 1149:Purines (including the nucleosides 929: 895:inosine monophosphate dehydrogenase 593: 484: 24: 3598:from the original on 8 August 2014 3451:10.1111/j.1600-065x.1993.tb00652.x 3338:10.1111/j.1749-6632.1993.tb35881.x 3252:10.1111/j.1749-6632.1993.tb17143.x 3043:from the original on 29 April 2023 2496:from the original on 27 April 2021 2466:from the original on 30 April 2021 2207:from the original on 29 April 2023 2030:from the original on 29 April 2023 1984:from the original on 29 April 2023 1942:from the original on 21 April 2020 1613:from the original on 18 March 2023 1573:"CellCept (mycophenolate mofetil)" 1034:reflect the immunosuppressive and 1017: 958:in children older than two years. 25: 5480: 3625:from the original on 27 July 2014 2912:from the original on 8 March 2022 2550:U.S. Food and Drug Administration 2520:U.S. Food and Drug Administration 2187:Harber M (2014). Harber M (ed.). 1795:from the original on 6 April 2020 1484:, especially in combination with 1447:(systemic sclerosis or SSc), and 1406:U.S. Food and Drug Administration 1097:infections, cytomegalovirus, and 301: 229: 138: 5396: 3542:10.1097/00007890-199304000-00001 2831:10.1097/00007691-199512000-00023 2788:10.2165/00003495-199651020-00007 2669:Principles of immunopharmacology 2142:Arthritis Research & Therapy 2084:from the original on 8 July 2020 2013:Advances in Applied Microbiology 1837:from the original on 8 July 2020 1456:granulomatosis with polyangiitis 1078:(PRCA) have also been reported. 712: 67: 49: 40: 3890: 3839: 3811:The Journal of General Virology 3798: 3757: 3716: 3637: 3610: 3557: 3516: 3473: 3430: 3387: 3360: 3309: 3274: 3223: 3188: 3112: 3055: 3016: 2853: 2740: 2691: 2658: 2634: 2620: 2594: 2568: 2538: 2508: 2478: 2448: 2404: 2355: 2263: 2180: 2066: 1211: 924: 799:Key:HPNSFSBZBAHARI-RUDMXATFSA-N 3916:10.1002/14651858.CD010242.pub2 3535:(4): 691–4, discussion 694–5. 3283:Journal of Medicinal Chemistry 1967:Schiff's Diseases of the Liver 1715: 1685: 1655: 1625: 1595: 1577:Australian Product Information 1491:Preliminary data suggest that 1120: 1066:(CMV) infection. More rarely, 718: 706: 314: 13: 1: 3209:10.1016/S0162-3109(00)00186-7 3173:10.1016/S0140-6736(14)60635-8 2994:10.1016/S0140-6736(96)10310-X 2761:10.1016/S0007-1536(88)80040-8 2626:Drugs.com: Mycophenolic acid 2486:"Homepage - BNF Publications" 2426:10.1016/S0140-6736(04)16808-6 2248:10.1016/S0190-9622(97)70147-6 2109:Australian Medicines Handbook 1885:10.1016/S0140-6736(07)60279-7 1498: 1346:. (The species is now called 1311:Mycophenolate mofetil is the 1283:) and a glucocorticoid (e.g. 5424:Drugs developed by Genentech 4032:dihydroorotate dehydrogenase 1441:systemic lupus erythematosus 1294: 1157:) can either be synthesized 1112: 1083:Food and Drug Administration 897:(IMPDH), which is needed by 832:immunosuppressant medication 27:Immunosuppressant medication 7: 5444:Drugs developed by Novartis 4011:purine synthesis inhibitors 3023:Zhang L, Demain AL (2005). 2819:Therapeutic Drug Monitoring 2381:10.1097/TP.0b013e3181952623 1430: 10: 5485: 3865:10.1016/j.jinf.2013.09.029 3742:10.1001/archderm.139.6.739 3617:Donlon DM (15 June 1995). 3156:"Anthony Clifford Allison" 2136:Moore RA, Derry S (2006). 1333: 1181:guanosine-5'-monophosphate 1006:Comparison to other agents 696:Chemical and physical data 142:), Mycophenolate mofetil ( 5153: 5081: 5054: 4939: 4582: 4284: 4275: 4266: 4259: 4212: 4196:IL-1 receptor antagonists 4194: 4185: 4139: 4070: 4000: 3991: 3676:"Mycophenolate revisited" 3494:10.1111/tri.1992.5.s1.482 2289:10.1186/s13643-016-0328-z 2193:. Springer. p. 449. 1787:European Medicines Agency 1303:Mycophenolate mofetil, a 891:gastrointestinal bleeding 807: 782: 762: 740: 727: 700: 695: 676: 644: 624: 604: 584: 564: 544: 524: 504: 479: 459: 435: 430: 418: 405: 395: 385: 373: 365: 291: 286: 261: 243: 217: 187: 173: 155: 129: 119: 62: 57: 48: 39: 5469:South African inventions 5069:Anti-lymphocyte globulin 3852:The Journal of Infection 3680:Transplant International 3482:Transplant International 3369:Clinical Transplantation 1411: 1377:Medical Research Council 1219:Penicillium stoloniferum 1185:inosine-5'-monophosphate 1087:opportunistic infections 988:retroperitoneal fibrosis 921:thousand prescriptions. 5064:Anti-thymocyte globulin 3976:Immunosuppressive drugs 3729:Archives of Dermatology 3621:. Stanford University. 2006:Laskin AI, Bennett JW, 4869:Interleukin-6 receptor 4295:Complement component 5 3783:10.1006/viro.2002.1685 2460:reference.medscape.com 1831:TGA eBusiness Services 1358:immunosuppressant drug 1308: 1057:gastrointestinal tract 1024:adverse drug reactions 986:. It is also used for 943:kidney transplantation 3824:10.1099/vir.0.81655-0 3439:Immunological Reviews 2879:10.1056/NEJMoa1014460 2604:. fda.gov. May 2008. 2106:Rossi S, ed. (2006). 1791:. 17 September 2018. 1547:Jasek W, ed. (2007). 1493:mycophenolate mofetil 1393:organ transplantation 1302: 1248:guanine monophosphate 1137:, and an increase in 1076:pure red cell aplasia 872:mycophenolate mofetil 864:liver transplantation 844:autoimmune conditions 840:organ transplantation 208:Mycophenolate mofetil 18:Mycophenolate mofetil 3088:10.1128/AEM.03015-10 2716:10.1093/brain/awt202 2340:10.2215/CJN.01200307 2190:Practical nephrology 1639:. 27 February 2020. 1609:. 11 November 2022. 1579:. 30 November 2021. 868:mycophenolate sodium 3488:(Suppl 1): S482-3. 3330:1993NYASA.685..309E 3295:10.1021/jm00164a057 3244:1993NYASA.696...63A 3080:2011ApEnM..77.3035R 2582:on 24 February 2013 1519:. 24 January 2020. 1385:autoimmune diseases 1344:Penicillium glaucum 1145:Mechanism of action 1139:blood urea nitrogen 1105:infection known as 968:autoimmune diseases 334:(Prescription only) 310:(Prescription only) 36: 5439:Italian inventions 5434:Immunosuppressants 5226:Diroximel fumarate 4899:IL-2 receptor/CD25 4327:Certolizumab pegol 3980:Immunosuppressants 3408:10.1007/bf00192309 3197:Immunopharmacology 2950:10.1111/ijcp.12399 2710:(Pt 5): 1282–303. 2552:. 14 August 2009. 2522:. 14 August 2009. 2276:Systematic Reviews 1449:pemphigus vulgaris 1309: 1165:ribose 5-phosphate 1068:pulmonary fibrosis 1062:, and/or invasive 976:pemphigus vulgaris 962:Autoimmune disease 915:generic medication 32: 5384: 5383: 5231:Efgartigimod alfa 5221:Dimethyl fumarate 5149: 5148: 5077: 5076: 5050: 5049: 4255: 4254: 4181: 4180: 4022:Mycophenolic acid 3817:(Pt 7): 1947–52. 3693:10.1111/tri.12554 3375:(1 Pt 2): 77–84. 3133:10.1021/cr990097b 3036:978-1-59259-976-9 2889:20.500.12648/8250 2651:978-1-4511-9177-6 2241:(3 Pt 1): 445–9. 2200:978-1-4471-5547-8 2119:978-0-9757919-2-9 2059:978-0-85711-338-2 2023:978-0-12-002648-7 1977:978-1-119-95048-6 1558:978-3-85200-181-4 1402:kidney transplant 1387:, as well as for 1354:anthrax bacterium 1349:P. brevicompactum 1225:P. brevicompactum 1141:(BUN) can occur. 828:Mycophenolic acid 825: 824: 753:Interactive image 646:CompTox Dashboard 354: 342: 329: 317: 305: 233: 200: 150: 141: 34:Mycophenolic acid 16:(Redirected from 5476: 5419:Carboxylic acids 5401: 5400: 5399: 5392: 5027:Telimomab aritox 4930:Zolimomab aritox 4751:CD62L/L-selectin 4489:Immunoglobulin E 4282: 4281: 4273: 4272: 4264: 4263: 4192: 4191: 3998: 3997: 3969: 3962: 3955: 3946: 3945: 3939: 3938: 3928: 3918: 3894: 3888: 3887: 3877: 3867: 3843: 3837: 3836: 3826: 3802: 3796: 3795: 3785: 3761: 3755: 3754: 3744: 3720: 3714: 3713: 3695: 3671: 3665: 3664: 3662: 3660: 3641: 3635: 3634: 3632: 3630: 3614: 3608: 3607: 3605: 3603: 3588: 3582: 3581: 3561: 3555: 3554: 3544: 3520: 3514: 3513: 3477: 3471: 3470: 3434: 3428: 3427: 3391: 3385: 3384: 3364: 3358: 3357: 3313: 3307: 3306: 3278: 3272: 3271: 3227: 3221: 3220: 3192: 3186: 3185: 3175: 3154:Watts G (2014). 3151: 3145: 3144: 3121:Chemical Reviews 3116: 3110: 3109: 3099: 3059: 3053: 3052: 3050: 3048: 3020: 3014: 3013: 2988:(9038): 1357–9. 2977: 2971: 2970: 2952: 2928: 2922: 2921: 2919: 2917: 2891: 2881: 2857: 2851: 2850: 2814: 2808: 2807: 2771: 2765: 2764: 2744: 2738: 2737: 2727: 2695: 2689: 2688: 2672: 2662: 2656: 2655: 2638: 2632: 2631: 2624: 2618: 2617: 2615: 2613: 2598: 2592: 2591: 2589: 2587: 2572: 2566: 2565: 2563: 2561: 2542: 2536: 2535: 2533: 2531: 2512: 2506: 2505: 2503: 2501: 2482: 2476: 2475: 2473: 2471: 2452: 2446: 2445: 2420:(9433): 503–12. 2408: 2402: 2401: 2383: 2359: 2353: 2352: 2342: 2318: 2312: 2311: 2301: 2291: 2267: 2261: 2260: 2250: 2226: 2217: 2216: 2214: 2212: 2184: 2178: 2177: 2167: 2157: 2133: 2124: 2123: 2103: 2094: 2093: 2091: 2089: 2070: 2064: 2063: 2046: 2040: 2039: 2037: 2035: 2003: 1994: 1993: 1991: 1989: 1961: 1952: 1951: 1949: 1947: 1928: 1905: 1904: 1878: 1876:10.1.1.1008.5428 1869:(9561): 587–96. 1858: 1847: 1846: 1844: 1842: 1828: 1820: 1805: 1804: 1802: 1800: 1778: 1769: 1768: 1766: 1764: 1749: 1743: 1742: 1740: 1738: 1719: 1713: 1712: 1710: 1708: 1689: 1683: 1682: 1680: 1678: 1669:. 17 June 2020. 1659: 1653: 1652: 1650: 1648: 1629: 1623: 1622: 1620: 1618: 1599: 1593: 1592: 1590: 1588: 1569: 1563: 1562: 1544: 1533: 1532: 1530: 1528: 1509: 1389:immune rejection 1340:Bartolomeo Gosio 1041:thrombophlebitis 1036:myelosuppressive 999:cyclophosphamide 972:Behçet's disease 956:lung transplants 936:organ transplant 930:Organ transplant 920: 910:Bartolomeo Gosio 834:used to prevent 821: 820: 813: 755: 735: 720: 714: 708: 691: 680: 669: 668: 654: 652: 637: 617: 597: 577: 557: 537: 517: 497: 487: 486: 472: 410: 352: 349: 340: 337: 327: 324: 316: 313: 303: 300: 278: 231: 228: 210: 199: 196: 183: 169: 149: 146: 140: 137: 114: 113: 110: 109: 106: 103: 100: 97: 94: 91: 88: 85: 82: 79: 76: 73: 53: 44: 37: 35: 31: 21: 5484: 5483: 5479: 5478: 5477: 5475: 5474: 5473: 5409: 5408: 5407: 5397: 5395: 5387: 5385: 5380: 5326:Rozanolixizumab 5211:Deucravacitinib 5145: 5073: 5046: 4935: 4584: 4578: 4286: 4251: 4208: 4187: 4177: 4135: 4075: 4066: 4002:Antimetabolites 3993: 3987: 3973: 3943: 3942: 3909:(2): CD010242. 3895: 3891: 3844: 3840: 3803: 3799: 3762: 3758: 3721: 3717: 3672: 3668: 3658: 3656: 3655:on 26 July 2014 3643: 3642: 3638: 3628: 3626: 3615: 3611: 3601: 3599: 3590: 3589: 3585: 3562: 3558: 3529:Transplantation 3521: 3517: 3478: 3474: 3435: 3431: 3392: 3388: 3365: 3361: 3314: 3310: 3279: 3275: 3228: 3224: 3193: 3189: 3152: 3148: 3127:(10): 3801–26. 3117: 3113: 3060: 3056: 3046: 3044: 3037: 3021: 3017: 2978: 2974: 2929: 2925: 2915: 2913: 2872:(20): 1886–95. 2858: 2854: 2815: 2811: 2772: 2768: 2745: 2741: 2696: 2692: 2685: 2663: 2659: 2652: 2640: 2639: 2635: 2625: 2621: 2611: 2609: 2600: 2599: 2595: 2585: 2583: 2574: 2573: 2569: 2559: 2557: 2544: 2543: 2539: 2529: 2527: 2514: 2513: 2509: 2499: 2497: 2484: 2483: 2479: 2469: 2467: 2454: 2453: 2449: 2409: 2405: 2368:Transplantation 2360: 2356: 2319: 2315: 2268: 2264: 2227: 2220: 2210: 2208: 2201: 2185: 2181: 2134: 2127: 2120: 2104: 2097: 2087: 2085: 2072: 2071: 2067: 2060: 2048: 2047: 2043: 2033: 2031: 2024: 2004: 1997: 1987: 1985: 1978: 1962: 1955: 1945: 1943: 1930: 1929: 1908: 1859: 1850: 1840: 1838: 1826: 1822: 1821: 1808: 1798: 1796: 1782:"CellCept EPAR" 1780: 1779: 1772: 1762: 1760: 1751: 1750: 1746: 1736: 1734: 1721: 1720: 1716: 1706: 1704: 1691: 1690: 1686: 1676: 1674: 1661: 1660: 1656: 1646: 1644: 1631: 1630: 1626: 1616: 1614: 1601: 1600: 1596: 1586: 1584: 1571: 1570: 1566: 1559: 1545: 1536: 1526: 1524: 1511: 1510: 1506: 1501: 1433: 1422:bioavailability 1414: 1373:Anthony Allison 1336: 1297: 1214: 1198:DNA replication 1167:or they can be 1147: 1123: 1115: 1064:cytomegalovirus 1020: 1018:Adverse effects 1008: 995:lupus nephritis 964: 932: 927: 918: 848:Crohn's disease 816: 814: 811:(what is this?) 808: 803: 800: 795: 790: 789: 778: 775: 770: 769: 758: 733: 723: 717: 711: 672: 648: 640: 620: 600: 580: 560: 540: 520: 500: 483: 475: 455: 452: 443: 442: 425: 408: 387:Protein binding 380: 375:Bioavailability 367:Pharmacokinetic 361: 282: 246: 239: 220: 213: 70: 66: 28: 23: 22: 15: 12: 11: 5: 5482: 5472: 5471: 5466: 5461: 5456: 5451: 5449:Isobenzofurans 5446: 5441: 5436: 5431: 5426: 5421: 5406: 5405: 5382: 5381: 5379: 5378: 5373: 5368: 5363: 5358: 5353: 5348: 5343: 5338: 5333: 5328: 5323: 5318: 5313: 5308: 5303: 5298: 5293: 5288: 5283: 5278: 5273: 5268: 5263: 5258: 5253: 5248: 5243: 5238: 5235:+hyaluronidase 5228: 5223: 5218: 5216:Deuruxolitinib 5213: 5208: 5203: 5198: 5193: 5188: 5183: 5178: 5173: 5168: 5163: 5157: 5155: 5151: 5150: 5147: 5146: 5144: 5143: 5138: 5133: 5128: 5127: 5126: 5121: 5109: 5108: 5107: 5102: 5089: 5087: 5079: 5078: 5075: 5074: 5072: 5071: 5066: 5060: 5058: 5052: 5051: 5048: 5047: 5045: 5044: 5039: 5034: 5029: 5024: 5019: 5014: 5009: 5004: 4999: 4994: 4989: 4984: 4979: 4974: 4969: 4964: 4959: 4954: 4949: 4943: 4941: 4937: 4936: 4934: 4933: 4920: 4919: 4918: 4917: 4912: 4907: 4894: 4893: 4892: 4891: 4879: 4878: 4877: 4865: 4864: 4863: 4858: 4846: 4845: 4844: 4839: 4834: 4822: 4821: 4820: 4809: 4808: 4807: 4806: 4801: 4789: 4788: 4787: 4775: 4774: 4773: 4761: 4760: 4759: 4747: 4746: 4745: 4740: 4728: 4727: 4726: 4721: 4709: 4708: 4707: 4702: 4697: 4692: 4689:+hyaluronidase 4682: 4670: 4669: 4668: 4656: 4655: 4654: 4642: 4641: 4640: 4635: 4630: 4618: 4617: 4616: 4611: 4606: 4601: 4588: 4586: 4580: 4579: 4577: 4576: 4575: 4574: 4561: 4560: 4559: 4558: 4553: 4532: 4531: 4530: 4529: 4516: 4515: 4514: 4513: 4500: 4499: 4498: 4497: 4484: 4483: 4482: 4481: 4468: 4467: 4466: 4465: 4460: 4455: 4450: 4445: 4440: 4435: 4430: 4425: 4420: 4415: 4410: 4405: 4400: 4395: 4390: 4385: 4380: 4375: 4370: 4365: 4360: 4347: 4346: 4345: 4344: 4339: 4334: 4329: 4324: 4319: 4306: 4305: 4304: 4303: 4290: 4288: 4279: 4270: 4261: 4257: 4256: 4253: 4252: 4250: 4249: 4244: 4239: 4234: 4229: 4224: 4218: 4216: 4210: 4209: 4207: 4206: 4200: 4198: 4189: 4183: 4182: 4179: 4178: 4176: 4175: 4174: 4173: 4165:PDE4 inhibitor 4161: 4156: 4151: 4145: 4143: 4137: 4136: 4134: 4133: 4128: 4122: 4121: 4120: 4119: 4114: 4109: 4104: 4083: 4081: 4068: 4067: 4065: 4064: 4063: 4062: 4049: 4048: 4047: 4046: 4041: 4027: 4026: 4025: 4024: 4019: 4006: 4004: 3995: 3989: 3988: 3972: 3971: 3964: 3957: 3949: 3941: 3940: 3889: 3838: 3797: 3756: 3715: 3666: 3636: 3609: 3583: 3556: 3515: 3472: 3429: 3386: 3359: 3308: 3273: 3222: 3203:(2–3): 63–83. 3187: 3166:(9925): 1290. 3146: 3111: 3074:(9): 3035–43. 3054: 3035: 3015: 2972: 2923: 2852: 2809: 2766: 2755:(4): 649–651. 2739: 2690: 2684:978-3764358044 2683: 2657: 2650: 2633: 2619: 2593: 2567: 2537: 2507: 2477: 2447: 2403: 2354: 2313: 2262: 2218: 2199: 2179: 2155:10.1186/ar2093 2125: 2118: 2095: 2065: 2058: 2041: 2022: 1995: 1976: 1953: 1906: 1848: 1806: 1770: 1744: 1714: 1684: 1654: 1624: 1594: 1564: 1557: 1534: 1503: 1502: 1500: 1497: 1432: 1429: 1413: 1410: 1335: 1332: 1324:carboxyl group 1296: 1293: 1231:P. echinulatum 1213: 1210: 1146: 1143: 1127:hypomagnesemia 1122: 1119: 1114: 1111: 1019: 1016: 1010:Compared with 1007: 1004: 963: 960: 931: 928: 926: 923: 823: 822: 805: 804: 802: 801: 798: 796: 793: 785: 784: 783: 780: 779: 777: 776: 773: 765: 764: 763: 760: 759: 757: 756: 748: 746: 738: 737: 731: 725: 724: 721: 715: 709: 704: 698: 697: 693: 692: 682: 674: 673: 671: 670: 657: 655: 642: 641: 639: 638: 630: 628: 622: 621: 619: 618: 610: 608: 602: 601: 599: 598: 590: 588: 582: 581: 579: 578: 570: 568: 562: 561: 559: 558: 550: 548: 542: 541: 539: 538: 530: 528: 522: 521: 519: 518: 510: 508: 502: 501: 499: 498: 490: 488: 477: 476: 474: 473: 465: 463: 457: 456: 454: 453: 446: 438: 437: 436: 433: 432: 428: 427: 422: 416: 415: 414:17.9±6.5 hours 412: 403: 402: 399: 393: 392: 389: 383: 382: 377: 371: 370: 363: 362: 360: 359: 356: 347: 335: 322: 311: 297: 295: 289: 288: 284: 283: 281: 280: 267: 265: 259: 258: 249: 247:administration 241: 240: 238: 237: 235: 225: 223: 215: 214: 212: 211: 193: 191: 185: 184: 177: 171: 170: 163: 153: 152: 131: 127: 126: 123: 117: 116: 64: 60: 59: 55: 54: 46: 45: 26: 9: 6: 4: 3: 2: 5481: 5470: 5467: 5465: 5462: 5460: 5457: 5455: 5454:Phenol ethers 5452: 5450: 5447: 5445: 5442: 5440: 5437: 5435: 5432: 5430: 5427: 5425: 5422: 5420: 5417: 5416: 5414: 5404: 5394: 5393: 5390: 5377: 5374: 5372: 5369: 5367: 5366:Tildrakizumab 5364: 5362: 5359: 5357: 5354: 5352: 5349: 5347: 5344: 5342: 5339: 5337: 5334: 5332: 5329: 5327: 5324: 5322: 5319: 5317: 5314: 5312: 5309: 5307: 5304: 5302: 5299: 5297: 5296:Pegcetacoplan 5294: 5292: 5289: 5287: 5284: 5282: 5279: 5277: 5274: 5272: 5269: 5267: 5264: 5262: 5259: 5257: 5254: 5252: 5249: 5247: 5244: 5242: 5239: 5236: 5232: 5229: 5227: 5224: 5222: 5219: 5217: 5214: 5212: 5209: 5207: 5206:Darvadstrocel 5204: 5202: 5199: 5197: 5194: 5192: 5189: 5187: 5184: 5182: 5179: 5177: 5174: 5172: 5169: 5167: 5164: 5162: 5159: 5158: 5156: 5152: 5142: 5139: 5137: 5134: 5132: 5129: 5125: 5122: 5120: 5117: 5116: 5115: 5114: 5113:TNF inhibitor 5110: 5106: 5103: 5101: 5098: 5097: 5096: 5095: 5091: 5090: 5088: 5085: 5080: 5070: 5067: 5065: 5062: 5061: 5059: 5057: 5053: 5043: 5040: 5038: 5035: 5033: 5030: 5028: 5025: 5023: 5020: 5018: 5015: 5013: 5010: 5008: 5005: 5003: 5000: 4998: 4995: 4993: 4990: 4988: 4985: 4983: 4980: 4978: 4975: 4973: 4970: 4968: 4965: 4963: 4960: 4958: 4955: 4953: 4950: 4948: 4945: 4944: 4942: 4938: 4931: 4927: 4926: 4922: 4921: 4916: 4913: 4911: 4908: 4906: 4903: 4902: 4901: 4900: 4896: 4895: 4890: 4887: 4886: 4885: 4884: 4880: 4876: 4873: 4872: 4871: 4870: 4866: 4862: 4859: 4857: 4854: 4853: 4852: 4851: 4847: 4843: 4840: 4838: 4835: 4833: 4830: 4829: 4828: 4827: 4823: 4819: 4816: 4815: 4814: 4811: 4810: 4805: 4802: 4800: 4797: 4796: 4795: 4794: 4790: 4786: 4783: 4782: 4781: 4780: 4779:CD147/Basigin 4776: 4772: 4769: 4768: 4767: 4766: 4762: 4758: 4755: 4754: 4753: 4752: 4748: 4744: 4741: 4739: 4736: 4735: 4734: 4733: 4729: 4725: 4722: 4720: 4717: 4716: 4715: 4714: 4710: 4706: 4703: 4701: 4698: 4696: 4693: 4690: 4686: 4683: 4681: 4678: 4677: 4676: 4675: 4671: 4667: 4664: 4663: 4662: 4661: 4657: 4653: 4650: 4649: 4648: 4647: 4643: 4639: 4636: 4634: 4631: 4629: 4626: 4625: 4624: 4623: 4619: 4615: 4612: 4610: 4607: 4605: 4602: 4600: 4599:Muromonab-CD3 4597: 4596: 4595: 4594: 4590: 4589: 4587: 4581: 4573: 4570: 4569: 4568: 4567: 4563: 4562: 4557: 4554: 4552: 4549: 4548: 4547: 4546: 4542: 4538: 4534: 4533: 4528: 4525: 4524: 4523: 4522: 4518: 4517: 4512: 4509: 4508: 4507: 4506: 4502: 4501: 4496: 4493: 4492: 4491: 4490: 4486: 4485: 4480: 4477: 4476: 4475: 4474: 4473:Interleukin 5 4470: 4469: 4464: 4461: 4459: 4456: 4454: 4453:Tildrakizumab 4451: 4449: 4446: 4444: 4441: 4439: 4436: 4434: 4431: 4429: 4426: 4424: 4421: 4419: 4416: 4414: 4411: 4409: 4406: 4404: 4401: 4399: 4396: 4394: 4391: 4389: 4386: 4384: 4381: 4379: 4376: 4374: 4371: 4369: 4366: 4364: 4361: 4359: 4356: 4355: 4354: 4353: 4349: 4348: 4343: 4340: 4338: 4335: 4333: 4330: 4328: 4325: 4323: 4320: 4318: 4315: 4314: 4313: 4312: 4308: 4307: 4302: 4299: 4298: 4297: 4296: 4292: 4291: 4289: 4287:(noncellular) 4283: 4280: 4278: 4274: 4271: 4269: 4265: 4262: 4260:Extracellular 4258: 4248: 4245: 4243: 4240: 4238: 4235: 4233: 4230: 4228: 4227:Ridaforolimus 4225: 4223: 4220: 4219: 4217: 4215: 4211: 4205: 4202: 4201: 4199: 4197: 4193: 4190: 4186:Intracellular 4184: 4172: 4169: 4168: 4167: 4166: 4162: 4160: 4157: 4155: 4152: 4150: 4147: 4146: 4144: 4142: 4138: 4132: 4129: 4127: 4124: 4123: 4118: 4115: 4113: 4110: 4108: 4105: 4103: 4100: 4099: 4098: 4097: 4093: 4089: 4085: 4084: 4082: 4079: 4073: 4069: 4061: 4058: 4057: 4056: 4055: 4051: 4050: 4045: 4044:Teriflunomide 4042: 4040: 4037: 4036: 4034: 4033: 4029: 4028: 4023: 4020: 4018: 4015: 4014: 4013: 4012: 4008: 4007: 4005: 4003: 3999: 3996: 3992:Intracellular 3990: 3985: 3981: 3977: 3970: 3965: 3963: 3958: 3956: 3951: 3950: 3947: 3936: 3932: 3927: 3922: 3917: 3912: 3908: 3904: 3900: 3893: 3885: 3881: 3876: 3871: 3866: 3861: 3858:(6): 606–16. 3857: 3853: 3849: 3842: 3834: 3830: 3825: 3820: 3816: 3812: 3808: 3801: 3793: 3789: 3784: 3779: 3776:(2): 211–21. 3775: 3771: 3767: 3760: 3752: 3748: 3743: 3738: 3735:(6): 739–42. 3734: 3730: 3726: 3719: 3711: 3707: 3703: 3699: 3694: 3689: 3686:(5): 508–15. 3685: 3681: 3677: 3670: 3654: 3650: 3646: 3640: 3624: 3620: 3613: 3597: 3593: 3587: 3579: 3575: 3572:(4): 571–82. 3571: 3567: 3560: 3552: 3548: 3543: 3538: 3534: 3530: 3526: 3519: 3511: 3507: 3503: 3499: 3495: 3491: 3487: 3483: 3476: 3468: 3464: 3460: 3456: 3452: 3448: 3444: 3440: 3433: 3425: 3421: 3417: 3413: 3409: 3405: 3402:(4): 353–80. 3401: 3397: 3390: 3382: 3378: 3374: 3370: 3363: 3355: 3351: 3347: 3343: 3339: 3335: 3331: 3327: 3324:(1): 309–29. 3323: 3319: 3312: 3304: 3300: 3296: 3292: 3288: 3284: 3277: 3269: 3265: 3261: 3257: 3253: 3249: 3245: 3241: 3237: 3233: 3226: 3218: 3214: 3210: 3206: 3202: 3198: 3191: 3183: 3179: 3174: 3169: 3165: 3161: 3157: 3150: 3142: 3138: 3134: 3130: 3126: 3122: 3115: 3107: 3103: 3098: 3093: 3089: 3085: 3081: 3077: 3073: 3069: 3065: 3058: 3042: 3038: 3032: 3028: 3027: 3019: 3011: 3007: 3003: 2999: 2995: 2991: 2987: 2983: 2976: 2968: 2964: 2960: 2956: 2951: 2946: 2942: 2938: 2934: 2927: 2911: 2907: 2903: 2899: 2895: 2890: 2885: 2880: 2875: 2871: 2867: 2863: 2856: 2848: 2844: 2840: 2836: 2832: 2828: 2824: 2820: 2813: 2805: 2801: 2797: 2793: 2789: 2785: 2782:(2): 278–98. 2781: 2777: 2770: 2762: 2758: 2754: 2750: 2743: 2735: 2731: 2726: 2721: 2717: 2713: 2709: 2705: 2701: 2694: 2686: 2680: 2676: 2671: 2670: 2661: 2653: 2647: 2643: 2637: 2630: 2623: 2607: 2603: 2597: 2581: 2577: 2571: 2555: 2551: 2547: 2541: 2525: 2521: 2517: 2511: 2495: 2491: 2487: 2481: 2465: 2461: 2457: 2451: 2443: 2439: 2435: 2431: 2427: 2423: 2419: 2415: 2407: 2399: 2395: 2391: 2387: 2382: 2377: 2374:(6): 785–94. 2373: 2369: 2365: 2358: 2350: 2346: 2341: 2336: 2333:(5): 968–75. 2332: 2328: 2324: 2317: 2309: 2305: 2300: 2295: 2290: 2285: 2281: 2277: 2273: 2266: 2258: 2254: 2249: 2244: 2240: 2236: 2232: 2225: 2223: 2206: 2202: 2196: 2192: 2191: 2183: 2175: 2171: 2166: 2161: 2156: 2151: 2147: 2143: 2139: 2132: 2130: 2121: 2115: 2111: 2110: 2102: 2100: 2083: 2079: 2075: 2069: 2061: 2055: 2051: 2045: 2029: 2025: 2019: 2015: 2014: 2009: 2002: 2000: 1983: 1979: 1973: 1969: 1968: 1960: 1958: 1941: 1937: 1933: 1927: 1925: 1923: 1921: 1919: 1917: 1915: 1913: 1911: 1902: 1898: 1894: 1890: 1886: 1882: 1877: 1872: 1868: 1864: 1857: 1855: 1853: 1836: 1832: 1825: 1819: 1817: 1815: 1813: 1811: 1794: 1790: 1788: 1783: 1777: 1775: 1758: 1754: 1748: 1732: 1728: 1724: 1718: 1702: 1698: 1694: 1688: 1672: 1668: 1664: 1658: 1642: 1638: 1634: 1628: 1612: 1608: 1604: 1598: 1582: 1578: 1574: 1568: 1560: 1554: 1550: 1549:Austria-Codex 1543: 1541: 1539: 1522: 1518: 1514: 1508: 1504: 1496: 1494: 1489: 1487: 1483: 1479: 1478: 1473: 1469: 1465: 1461: 1457: 1452: 1450: 1446: 1442: 1438: 1428: 1425: 1423: 1419: 1409: 1407: 1403: 1398: 1394: 1390: 1386: 1382: 1378: 1374: 1369: 1367: 1363: 1359: 1355: 1351: 1350: 1345: 1341: 1331: 1329: 1325: 1321: 1318: 1314: 1306: 1301: 1292: 1290: 1286: 1285:dexamethasone 1282: 1278: 1274: 1270: 1265: 1263: 1259: 1255: 1254: 1249: 1245: 1241: 1237: 1233: 1232: 1227: 1226: 1221: 1220: 1209: 1207: 1203: 1199: 1194: 1190: 1186: 1182: 1179:synthesis of 1178: 1174: 1170: 1166: 1162: 1161: 1156: 1152: 1142: 1140: 1136: 1132: 1128: 1118: 1110: 1108: 1104: 1100: 1096: 1092: 1088: 1084: 1079: 1077: 1073: 1069: 1065: 1061: 1058: 1054: 1050: 1046: 1042: 1037: 1033: 1029: 1025: 1015: 1013: 1003: 1000: 996: 991: 989: 985: 981: 977: 973: 969: 959: 957: 953: 949: 944: 940: 937: 922: 916: 911: 906: 904: 900: 896: 892: 888: 884: 880: 875: 873: 869: 865: 861: 857: 853: 849: 845: 842:and to treat 841: 837: 833: 829: 819: 812: 806: 797: 792: 791: 788: 781: 772: 771: 768: 761: 754: 750: 749: 747: 744: 739: 732: 730: 726: 705: 703: 699: 694: 690: 686: 683: 681: 679:ECHA InfoCard 675: 667: 663: 662:DTXSID4041070 659: 658: 656: 647: 643: 636: 632: 631: 629: 627: 623: 616: 612: 611: 609: 607: 603: 596: 592: 591: 589: 587: 583: 576: 572: 571: 569: 567: 563: 556: 552: 551: 549: 547: 543: 536: 532: 531: 529: 527: 523: 516: 512: 511: 509: 507: 503: 496: 492: 491: 489: 482: 478: 471: 467: 466: 464: 462: 458: 450: 445: 444: 441: 434: 429: 423: 421: 417: 413: 411: 404: 400: 398: 394: 390: 388: 384: 381:94% (mofetil) 379:72% (sodium), 378: 376: 372: 368: 364: 357: 355: Rx-only 348: 346: 336: 333: 323: 321: 312: 309: 299: 298: 296: 294: 290: 285: 277: 272: 269: 268: 266: 264: 260: 257: 253: 250: 248: 242: 236: 227: 226: 224: 222: 216: 209: 204: 195: 194: 192: 190: 186: 182: 178: 176: 172: 168: 164: 162: 158: 154: 145: 136: 132: 128: 124: 122: 118: 112: 65: 63:Pronunciation 61: 58:Clinical data 56: 52: 47: 43: 38: 30: 19: 5376:Upadacitinib 5336:Satralizumab 5321:Ritlecitinib 5316:Risankizumab 5111: 5092: 5032:Teprotumumab 4982:Inebilizumab 4977:Fontolizumab 4957:Atorolimumab 4925:T-lymphocyte 4923: 4897: 4881: 4867: 4848: 4837:Lerdelimumab 4832:Bertilimumab 4824: 4812: 4791: 4777: 4763: 4749: 4730: 4711: 4695:Pascolizumab 4680:Obinutuzumab 4672: 4658: 4644: 4628:Clenoliximab 4620: 4604:Otelixizumab 4591: 4564: 4551:Lebrikizumab 4535: 4519: 4503: 4487: 4471: 4428:Satralizumab 4418:Risankizumab 4350: 4309: 4293: 4285:Serum target 4237:Temsirolimus 4163: 4154:Pomalidomide 4149:Lenalidomide 4107:Pimecrolimus 4086: 4060:Methotrexate 4052: 4030: 4021: 4017:Azathioprine 4009: 3994:(initiation) 3906: 3902: 3892: 3855: 3851: 3841: 3814: 3810: 3800: 3773: 3769: 3759: 3732: 3728: 3718: 3683: 3679: 3669: 3657:. Retrieved 3653:the original 3648: 3639: 3627:. Retrieved 3612: 3600:. Retrieved 3586: 3569: 3565: 3559: 3532: 3528: 3518: 3485: 3481: 3475: 3442: 3438: 3432: 3399: 3395: 3389: 3372: 3368: 3362: 3321: 3317: 3311: 3289:(2): 833–8. 3286: 3282: 3276: 3238:(1): 63–87. 3235: 3231: 3225: 3200: 3196: 3190: 3163: 3159: 3149: 3124: 3120: 3114: 3071: 3067: 3057: 3045:. Retrieved 3025: 3018: 2985: 2981: 2975: 2943:(181): 1–3. 2940: 2936: 2926: 2914:. Retrieved 2869: 2865: 2855: 2825:(6): 681–4. 2822: 2818: 2812: 2779: 2775: 2769: 2752: 2748: 2742: 2707: 2703: 2693: 2668: 2660: 2641: 2636: 2629:Side Effects 2622: 2610:. Retrieved 2596: 2584:. Retrieved 2580:the original 2570: 2558:. Retrieved 2540: 2528:. Retrieved 2510: 2498:. Retrieved 2489: 2480: 2468:. Retrieved 2459: 2450: 2417: 2413: 2406: 2371: 2367: 2357: 2330: 2326: 2316: 2279: 2275: 2265: 2238: 2234: 2211:23 September 2209:. Retrieved 2189: 2182: 2145: 2141: 2108: 2086:. Retrieved 2077: 2068: 2049: 2044: 2034:23 September 2032:. Retrieved 2012: 1988:23 September 1986:. Retrieved 1966: 1944:. Retrieved 1935: 1866: 1862: 1839:. Retrieved 1830: 1797:. Retrieved 1785: 1761:. Retrieved 1759:. 7 May 2024 1756: 1747: 1735:. Retrieved 1726: 1717: 1705:. Retrieved 1696: 1687: 1675:. Retrieved 1666: 1657: 1645:. Retrieved 1636: 1627: 1615:. Retrieved 1606: 1597: 1585:. Retrieved 1576: 1567: 1548: 1525:. Retrieved 1516: 1507: 1490: 1475: 1460:azathioprine 1453: 1434: 1426: 1415: 1370: 1347: 1343: 1337: 1310: 1269:azathioprine 1266: 1251: 1229: 1223: 1217: 1215: 1212:Pharmacology 1192: 1176: 1159: 1148: 1135:hyperkalemia 1131:hypocalcemia 1124: 1116: 1080: 1021: 1012:azathioprine 1009: 992: 980:vasculitides 965: 933: 925:Medical uses 907: 876: 871: 867: 827: 826: 815:   809:   615:CHEBI:168396 448: 424:Urine (93%), 407:Elimination 293:Legal status 287:Legal status 189:License data 29: 5371:Tofacitinib 5311:Ravulizumab 5301:Pirfenidone 5291:Peficitinib 5191:Canakinumab 5181:Briakinumab 5171:Bimekizumab 5166:Baricitinib 5131:Aflibercept 5042:Vepalimomab 5037:Vapaliximab 5012:Rovelizumab 5002:Pexelizumab 4992:Morolimumab 4967:Cedelizumab 4952:Anifrolumab 4947:Alemtuzumab 4905:Basiliximab 4875:Tocilizumab 4861:Vedolizumab 4856:Natalizumab 4842:Metelimumab 4785:Gavilimomab 4743:Toralizumab 4738:Teneliximab 4724:Lumiliximab 4719:Gomiliximab 4705:Ublituximab 4685:Ocrelizumab 4638:Zanolimumab 4614:Visilizumab 4572:Secukinumab 4556:Ustekinumab 4527:Elsilimomab 4511:Faralimomab 4479:Mepolizumab 4463:Ustekinumab 4458:Tocilizumab 4433:Secukinumab 4383:Canakinumab 4373:Briakinumab 4368:Bimekizumab 4363:Basiliximab 4352:Interleukin 4342:Nerelimomab 4247:Zotarolimus 4188:(reception) 4159:Thalidomide 4117:Voclosporin 4102:Ciclosporin 4096:Calcineurin 4092:Cyclophilin 4039:Leflunomide 4035:inhibitors 3445:(1): 5–28. 2916:25 November 2490:www.bnf.org 2148:(6): R182. 1841:25 February 1468:replication 1445:scleroderma 1277:ciclosporin 1275:inhibitor ( 1273:calcineurin 1262:lymphocytes 1256:pathway of 1189:lymphocytes 1183:(GMP) from 1121:Blood tests 1070:or various 1049:esophagitis 899:lymphocytes 736: g·mol 685:100.041.912 431:Identifiers 426:faeces (6%) 256:intravenous 175:MedlinePlus 130:Other names 121:Trade names 5464:Phthalides 5413:Categories 5361:Sutimlimab 5356:Spesolimab 5341:Siltuximab 5281:Olokizumab 5271:Ixekizumab 5266:Itacitinib 5256:Guselkumab 5251:Fingolimod 5246:Filgotinib 5196:Crovalimab 5186:Brodalumab 5176:Blisibimod 5141:Rilonacept 5124:Opinercept 5119:Etanercept 5105:Belatacept 5056:Polyclonal 5017:Siplizumab 5007:Reslizumab 4997:Ofatumumab 4987:Maslimomab 4972:Emapalumab 4915:Inolimomab 4910:Daclizumab 4889:Odulimomab 4804:Ruplizumab 4799:Frexalimab 4757:Aselizumab 4652:Efalizumab 4609:Teplizumab 4505:Interferon 4495:Omalizumab 4448:Spesolimab 4438:Siltuximab 4413:Rilonacept 4408:Olokizumab 4398:Ixekizumab 4393:Guselkumab 4388:Daclizumab 4378:Brodalumab 4337:Infliximab 4322:Afelimomab 4317:Adalimumab 4301:Eculizumab 4277:Monoclonal 4268:Antibodies 4242:Umirolimus 4222:Everolimus 4171:Apremilast 4131:Gusperimus 4112:Tacrolimus 4080:inhibitors 4072:Macrolides 4054:antifolate 3160:The Lancet 2612:26 October 2586:26 October 2500:9 November 2470:9 November 2282:(1): 155. 1946:28 October 1824:"CellCept" 1737:23 October 1707:22 October 1677:22 October 1647:22 October 1499:References 1486:interferon 1313:morpholino 1289:prednisone 1281:tacrolimus 1060:hemorrhage 1045:thrombosis 1028:leukopenia 838:following 741:3D model ( 729:Molar mass 575:HU9DX48N0T 546:ChemSpider 506:IUPHAR/BPS 470:24280-93-1 461:CAS Number 440:IUPAC name 397:Metabolism 5351:Sirukumab 5346:Siponimod 5331:Sarilumab 5306:Ponesimod 5276:Netakimab 5261:Iptacopan 5241:Etrasimod 5201:Danicopan 5136:Alefacept 5100:Abatacept 5022:Talizumab 4962:Begelomab 4818:Belimumab 4771:Galiximab 4700:Rituximab 4666:Erlizumab 4633:Keliximab 4443:Sirukumab 4423:Sarilumab 4403:Netakimab 4332:Golimumab 4232:Sirolimus 3649:Roche.com 3510:222199749 3047:16 August 2560:21 August 2530:21 August 2088:7 October 1936:Drugs.com 1871:CiteSeerX 1587:8 January 1517:Drugs.com 1464:ribavirin 1315:‌ 1295:Chemistry 1155:adenosine 1151:guanosine 1113:Pregnancy 1081:The U.S. 1072:neoplasia 1053:gastritis 984:psoriasis 939:rejection 903:guanosine 836:rejection 635:ChEMBL866 420:Excretion 409:half-life 245:Routes of 219:Pregnancy 167:Monograph 161:Drugs.com 5403:Medicine 5286:Ozanimod 5161:Avacopan 5154:Unsorted 4940:Unsorted 4850:Integrin 4583:Cellular 4358:Anakinra 4204:Anakinra 4126:Abetimus 3978: / 3935:24505016 3926:10875409 3884:24096239 3833:16760396 3792:12504563 3770:Virology 3751:12810504 3702:25758949 3623:Archived 3596:Archived 3502:14621853 3424:26433174 3268:34520788 3217:10878284 3182:54281245 3141:11749328 3106:21398490 3041:Archived 3010:36837474 2959:24673712 2910:Archived 2906:27689350 2898:22087680 2804:46954073 2734:23975452 2606:Archived 2554:Archived 2524:Archived 2494:Archived 2464:Archived 2442:22033113 2434:15302193 2398:33596652 2390:19300178 2349:17702723 2308:27619512 2205:Archived 2174:17163990 2082:Archived 2078:ClinCalc 2028:Archived 2010:(2001). 1982:Archived 1940:Archived 1901:28468112 1893:17307106 1835:Archived 1793:Archived 1757:DailyMed 1731:Archived 1727:DailyMed 1701:Archived 1671:Archived 1641:Archived 1617:29 April 1611:Archived 1581:Archived 1521:Archived 1477:in vitro 1431:Research 1366:Novartis 1169:salvaged 1099:BK virus 1093:, other 1091:shingles 901:to make 846:such as 818:(verify) 526:DrugBank 263:ATC code 252:By mouth 221:category 203:DailyMed 5459:Phenols 5082:-cept ( 3875:7112612 3710:1673466 3659:23 July 3629:23 July 3602:23 July 3578:7947873 3551:8475537 3459:7907572 3416:8322167 3381:8680053 3354:9028169 3346:8363235 3326:Bibcode 3303:1967654 3260:7906496 3240:Bibcode 3097:3126426 3076:Bibcode 3002:8918281 2967:2630344 2847:6439393 2839:8588241 2796:8808168 2725:3999711 2299:5020478 2257:9308561 2165:1794528 2008:Gadd GM 1799:6 April 1763:16 June 1527:6 April 1443:(SLE), 1439:(ITP), 1418:prodrug 1404:by the 1334:History 1305:prodrug 1253:de novo 1250:in the 1206:B cells 1202:T cells 1193:de novo 1177:de novo 1160:de novo 1022:Common 734:320.341 702:Formula 535:DB01024 481:PubChem 318:: 279:) 273: ( 271:L04AA06 234: D 205::  181:a601081 5389:Portal 5094:CTLA-4 5084:Fusion 4585:target 4566:IL-17A 4543:, and 4076:other 3933:  3923:  3882:  3872:  3831:  3790:  3749:  3708:  3700:  3576:  3549:  3508:  3500:  3467:711727 3465:  3457:  3422:  3414:  3379:  3352:  3344:  3301:  3266:  3258:  3215:  3180:  3139:  3104:  3094:  3033:  3008:  3000:  2982:Lancet 2965:  2957:  2904:  2896:  2845:  2837:  2802:  2794:  2732:  2722:  2681:  2648:  2440:  2432:  2414:Lancet 2396:  2388:  2347:  2306:  2296:  2255:  2197:  2172:  2162:  2116:  2056:  2020:  1974:  1899:  1891:  1873:  1863:Lancet 1555:  1474:virus 1472:dengue 1397:Syntex 1258:purine 1244:enzyme 1242:, the 1163:using 1095:herpes 1032:anemia 982:, and 919:  889:, and 887:anemia 879:cancer 862:, and 856:kidney 830:is an 767:SMILES 626:ChEMBL 595:D05096 555:393865 495:446541 391:82–97% 345:℞-only 343: 330: 320:℞-only 306: 201:  115: 4883:LFA-1 4793:CD154 4646:CD11a 4545:IL-23 4541:IL-13 4537:IL-12 4141:IMiDs 3706:S2CID 3506:S2CID 3463:S2CID 3420:S2CID 3350:S2CID 3264:S2CID 3178:S2CID 3006:S2CID 2963:S2CID 2902:S2CID 2843:S2CID 2800:S2CID 2776:Drugs 2704:Brain 2438:S2CID 2394:S2CID 1897:S2CID 1827:(PDF) 1789:(EMA) 1697:(emc) 1667:(emc) 1637:(emc) 1412:Names 1362:Roche 1320:ester 1317:ethyl 1236:liver 1103:viral 1030:, or 954:, or 952:heart 948:liver 860:heart 852:lupus 787:InChI 743:JSmol 606:ChEBI 401:Liver 4813:BLyS 4765:CD80 4732:CD40 4713:CD23 4674:CD20 4660:CD18 4521:IL-6 4214:mTOR 4088:FKBP 4078:IL-2 3931:PMID 3907:2014 3880:PMID 3829:PMID 3788:PMID 3747:PMID 3698:PMID 3661:2014 3631:2014 3604:2014 3574:PMID 3547:PMID 3498:PMID 3455:PMID 3412:PMID 3377:PMID 3342:PMID 3299:PMID 3256:PMID 3213:PMID 3137:PMID 3102:PMID 3049:2019 3031:ISBN 2998:PMID 2955:PMID 2918:2021 2894:PMID 2835:PMID 2792:PMID 2730:PMID 2679:ISBN 2646:ISBN 2614:2010 2588:2010 2562:2009 2532:2009 2502:2014 2472:2014 2430:PMID 2386:PMID 2345:PMID 2304:PMID 2253:PMID 2213:2020 2195:ISBN 2170:PMID 2114:ISBN 2090:2022 2054:ISBN 2036:2020 2018:ISBN 1990:2020 1972:ISBN 1948:2019 1889:PMID 1843:2014 1801:2020 1765:2024 1739:2020 1709:2020 1679:2020 1649:2020 1619:2023 1589:2023 1553:ISBN 1529:2020 1482:MERS 1228:and 1204:and 1153:and 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Index

Mycophenolate mofetil


/ˌmkfɪˈnɒlɪk/
Trade names
AAN
USAN
AHFS
Drugs.com
Monograph
MedlinePlus
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Pharmacokinetic
Bioavailability
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