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Myfortic® Tablets for Kidney Transplant
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$492.99
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Mycophenolic Acid without insurance is available as a generic option for patients prescribed this therapy after kidney transplant. This page explains how the medicine works, who it’s for, and how to handle dosing, safety, and storage. It also shows how access with US delivery from Canada can fit into a care plan approved by a prescriber.
What Myfortic Is and How It Works
Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
Myfortic® is the delayed-release form of mycophenolic acid used to help prevent organ rejection after a kidney transplant. Mycophenolic Acid inhibits inosine monophosphate dehydrogenase, reducing guanosine nucleotide synthesis. This limits activation and proliferation of T and B lymphocytes, which can help reduce immune attack on the graft. It is used with cyclosporine and corticosteroids as part of a multi-drug regimen.
This treatment is not interchangeable milligram-for-milligram with mycophenolate mofetil. Patients should remain on the prescribed formulation unless a clinician directs a change. Tablets are enteric-coated to release in the intestine.
Who It’s For
This medicine is indicated to prevent rejection in adult kidney transplant recipients. It may also be used in pediatric patients when the prescriber determines it appropriate under product labeling.
Avoid use in pregnancy due to embryo-fetal toxicity risk. Patients who can become pregnant typically need negative pregnancy tests before starting and effective contraception during and after treatment, per the official label. Do not use in those with known hypersensitivity to mycophenolic acid or formulation components. It is not approved for heart or liver transplant prophylaxis.
Dosage and Usage
Therapy is generally initiated soon after transplantation as part of a combination regimen with cyclosporine and corticosteroids. Standard schedules involve twice-daily administration. Follow the prescriber’s directions from the transplant center.
Take on an empty stomach for consistent absorption, at the same times each day. Swallow tablets whole with water. Do not crush, split, or chew. Do not substitute with mycophenolate mofetil without medical guidance, as these products are not directly interchangeable. Wash hands after handling.
If a tablet is accidentally broken, avoid contact with powder. Caregivers who are pregnant or may become pregnant should minimize direct contact with drug dust. Report persistent gastrointestinal symptoms, signs of infection, or unusual bruising to a clinician.
Strengths and Forms
Enteric-coated delayed-release tablets are commonly available in two strengths used in practice. The products are designed to release in the small intestine.
- Tablets: 180 mg and 360 mg delayed-release
- Some markets may carry blister packs or bottles; availability can vary by pharmacy
- Formulations are not interchangeable with mycophenolate mofetil capsules or tablets
For search clarity: Mycophenolic Acid delayed-release 360mg is a common query tied to the tablet strength, but individual suitability depends on a prescriber’s plan.
Missed Dose and Timing
If a dose is missed, take it when remembered unless it is close to the next scheduled dose. If it is almost time for the next dose, skip the missed dose and return to the regular schedule. Do not double doses. Consistent twice-daily timing supports steady exposure.
Storage and Travel Basics
Store tablets at room temperature in the original container. Protect from moisture and keep the bottle tightly closed. Keep out of sight and reach of children. Do not use tablets that are cracked or crumbling.
For travel, bring enough supply, a copy of the prescription, and carry-on storage to avoid temperature swings. Keep dosing times consistent when crossing time zones; transplant teams can advise how to align schedules. Pack an extra few days of medication in case of delays. Use a pill organizer only if tablets remain intact and protected from humidity.
Benefits
This therapy helps lower the risk of kidney graft rejection when used with other immunosuppressants. The delayed-release coating is designed to release in the intestine, which may help tolerability for some patients. Twice-daily oral dosing aligns with many transplant regimens and monitoring plans.
Side Effects and Safety
- Gastrointestinal: diarrhea, nausea, vomiting, abdominal pain, dyspepsia
- Infection-related: upper respiratory infections, urinary infections
- Blood effects: anemia, leukopenia, thrombocytopenia
- General: headache, fatigue, edema
Serious risks include embryo-fetal toxicity, severe infections, sepsis, malignancies including skin cancer and lymphoma, progressive multifocal leukoencephalopathy, pure red cell aplasia, and severe neutropenia. Report signs of infection, unusual bleeding, shortness of breath, neurologic changes, or severe persistent GI symptoms promptly. Sun protection and regular skin checks may be recommended due to malignancy risk.
For clarity of access topics discussed on this page, some patients search for Mycophenolic Acid online. Any use requires a valid prescription with pharmacist and prescriber oversight.
Drug Interactions and Cautions
Important interactions may affect drug levels or safety:
- Antacids with magnesium or aluminum can reduce exposure; separate dosing if advised
- Bile acid sequestrants such as cholestyramine can lower levels
- Acyclovir or ganciclovir may increase concentrations through renal competition
- Cyclosporine can reduce mycophenolic acid exposure; regimens account for this
- Avoid live vaccines; response to inactivated vaccines may be reduced
Contraception is recommended for patients who can become pregnant; discuss options with a prescriber. Do not start, stop, or change interacting therapy without clinician guidance. Alcohol and high-dose NSAIDs may worsen gastrointestinal effects in some patients.
What to Expect Over Time
Effects are preventive and tied to consistent use with the transplant regimen. Lab monitoring typically includes blood counts and assessments for infection risk and organ function. Some gastrointestinal effects can appear early and may improve over time or with supportive care. Any changes to therapy should be directed by the transplant team.
Compare With Alternatives
Prescribers may consider other immunosuppressants based on transplant protocol and patient factors:
- Rapamune® (sirolimus): an mTOR inhibitor sometimes used in maintenance regimens
- Arava® (leflunomide): an immunomodulator that may be considered in select scenarios under specialist care
Choice of therapy is individualized; do not switch products without prescriber oversight.
Pricing and Access
Patients often compare Mycophenolic Acid price when evaluating options across pharmacies. Generic supply can support savings compared with brands, depending on market conditions and insurance status. Some patients also search for Mycophenolic Acid coupon; current site offers are listed on Promotions.
BorderFreeHealth supports transparent comparisons and secure checkout. Orders are filled by Canadian partners with Ships from Canada to US service after prescription verification. See product detail pages for current availability before adding to cart.
Availability and Substitutions
Inventory can vary. If a specific strength or pack is unavailable, a prescriber may recommend an alternative product or a temporary plan within the established regimen. Do not substitute with mycophenolate mofetil without explicit direction, as formulations differ.
Patient Suitability and Cost-Saving Tips
Good candidates are kidney transplant recipients whose clinicians have selected this therapy within a combination protocol. Not suitable in pregnancy unless benefits outweigh risks; robust contraception is typically required for patients who can become pregnant. Those with severe ongoing infections or significant cytopenias may need additional assessment before initiation.
To lower out-of-pocket exposure, consider multi-month fills approved by the prescriber, set refill reminders ahead of renewals, and compare options across Canadian pharmacies. Some patients review Mycophenolic Acid cost alongside other immunosuppressants. When allowed, consolidating refills can reduce per-fill fees.
Questions to Ask Your Clinician
- Role in regimen: how this therapy complements cyclosporine and steroids
- Monitoring: which labs and how often to check counts and organ function
- Vaccines: which vaccines are appropriate during treatment
- Pregnancy planning: contraception duration and testing requirements
- GI management: steps if persistent diarrhea or abdominal pain occurs
- Sun safety: skin checks and protective measures
Authoritative Sources
- Novartis manufacturer information
- FDA DailyMed prescribing information
- Health Canada DPD drug database
Explore Related Topics
Learn more about transplant care and medicine options:
- Transplant Rejection
- Immunosuppressants
- Transplant
- Organ Transplant
- Kidney Transplant
- Immunology
- Canada
- Chronic Kidney Disease
Ready to proceed? Add the prescribed strength to cart for encrypted checkout and US shipping from Canada with prompt, express shipping. This information is not medical advice; always follow the transplant team’s directions and the official label.
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Is this medicine the same as mycophenolate mofetil?
No. These are different formulations of the same active moiety. Delayed-release mycophenolic acid tablets are not interchangeable milligram-for-milligram with mycophenolate mofetil. Switching should only occur under prescriber direction. The products have different release characteristics and exposure profiles. Pharmacists and clinicians use the official label to guide any conversion and to monitor for efficacy and safety during changes.
Can this be used for heart or liver transplants?
Labeling for delayed-release mycophenolic acid supports prophylaxis of rejection in kidney transplant recipients, typically combined with cyclosporine and corticosteroids. It is not approved for prophylaxis in heart or liver transplant recipients. Transplant centers may use other immunosuppressants for those organs. Decisions about any off-label use rest with the specialist team overseeing the graft.
How should tablets be taken with food?
Delayed-release tablets are often taken on an empty stomach for consistency, such as 1 hour before or 2 hours after meals. Swallow whole with water. Do not crush, split, or chew. Take doses at the same times each day. Always follow the schedule set by the transplant team, which accounts for the full regimen including cyclosporine and steroids.
What birth control steps are recommended?
This medicine can cause embryo-fetal harm. Patients who can become pregnant typically need negative pregnancy tests before starting and reliable contraception during treatment and for a time after the last dose. The exact duration and method should be discussed with a healthcare professional. If pregnancy occurs during therapy, contact the prescriber right away for guidance.
Which side effects need urgent attention?
Seek medical help for signs of severe infection, sepsis, unusual bruising or bleeding, persistent severe diarrhea, shortness of breath, significant weakness, new neurologic symptoms, or skin changes that could suggest malignancy. Routine side effects such as mild nausea or headache should still be discussed with a clinician if they persist or worsen. Monitoring labs help track blood counts and organ function.
Can vaccines be given during treatment?
Live vaccines are typically avoided during immunosuppressive therapy. The response to inactivated vaccines may be reduced. Transplant teams individualize vaccination plans before and after surgery. Ask a prescriber or transplant pharmacist about timing of influenza, COVID-19, and other immunizations while on therapy, and avoid live-attenuated vaccines unless specifically directed.
How is access handled for U.S. patients?
Orders are filled by licensed Canadian partner pharmacies after prescription verification. Pricing reflects Canadian sourcing in many cases, which can support savings versus some U.S. retail options. Delivery is arranged to the United States. Use secure checkout and review product pages for current availability before placing an order.
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