Cellcept 500 Tablet 10's

Introduction About CELLCEPT 500 TABLET

Cellcept 500mg Tablet belongs to a class of medicines known as immunosuppressants. It is commonly used in combination with other immunosuppressive agents such as ciclosporin and corticosteroids to support the acceptance of transplanted organs like kidney, heart, or liver. The tablet contains mycophenolate mofetil, which acts by lowering the activity of the immune cells that are typically activated during autoimmune conditions or following organ transplantation. This action reduces the immune system’s response, helping to maintain the function and longevity of the transplanted organ.

The dosage of Cellcept 500mg Tablet and how frequently it is taken varies depending on the type of organ transplant received. Always follow your doctor’s guidance for exact dosing. For optimal absorption, take Cellcept on an empty stomach at least one hour before or two hours after a meal unless your healthcare provider advises differently. Swallow the tablet whole without crushing, chewing, or breaking it. Consistent, regular use is important to support the transplanted organ’s function and maintain its health over time. Continue the medication as prescribed, even if you feel well, to uphold ongoing organ stability.

The most common side effects of Cellcept 500mg Tablet include nausea, vomiting, diarrhoea, stomach pain, headache, high blood pressure, and swelling in the ankles or feet. Patients may experience infections caused by bacteria, viruses, or fungi due to the immune-modulating effects of the medicine. Changes in white blood cell counts are common, which can increase susceptibility to infections and may also raise the chance of certain cancers over long-term use. To lower the risk of skin-related issues, it is advisable to limit sun exposure and use a high-protection sunscreen. There is a broad range of possible side effects associated with this medication, so it is important to consult your healthcare provider to understand what symptoms to watch for. Some side effects can be serious and require immediate medical attention.

Cellcept 500mg Tablet may cause serious risks during pregnancy, including birth defects and pregnancy loss, so it should not be used if you are pregnant, trying to conceive, or breastfeeding. It is essential to discuss with your doctor before starting this medicine, especially if you show any signs of infection, unexpected bruising, or bleeding. Inform your healthcare provider about all other medications, supplements, or herbal products you are taking, as they can influence how Cellcept works or be affected by it. While on this medication, regular blood tests will be necessary to monitor changes in your blood cell counts, as well as sugar and cholesterol levels, ensuring your safety and the medicine’s optimal effect.

Uses Of CELLCEPT 500 TABLET

• Used in combination with ciclosporin and corticosteroids to support the acceptance and continued function of transplanted organs such as kidney, heart, or liver in both adult and pediatric patients.

Benefits of CELLCEPT 500 TABLET

01)Supports Organ Acceptance After Transplant: Cellcept 500mg Tablet, when used with ciclosporin and corticosteroids, helps moderate the immune system’s activity to support the acceptance and sustained health of transplanted organs like kidney, heart, or liver.

02)Selective Immune Cell Inhibition: The active ingredient, mycophenolate mofetil, selectively reduces the proliferation of T and B lymphocytes, cells that play a crucial role in immune response linked to organ transplantation and autoimmune conditions.

03)Minimizes Immune System Activity Linked to Organ Response: By targeting key enzymes in nucleotide synthesis, Cellcept lowers immune cell activity that could otherwise compromise the transplanted organ.

04)Non-Nephrotoxic Immunosuppressive Option: Unlike some immunosuppressants, Cellcept does not cause kidney toxicity or promote fibrotic tissue formation, making it a safer choice for long-term use.

05)Supports Long-Term Stability of Transplanted Organs: Regular use under medical supervision helps maintain the function and integrity of transplanted organs over time.

06)Suitable for Adult and Pediatric Patients: Cellcept 500mg Tablet is approved for both adult and children aged 1 year and older, facilitating transplant success across age groups.

How CELLCEPT 500 TABLET Works

How Cellcept 500 Tablet Works Inside the Body

Cellcept 500 Tablet contains mycophenolate mofetil, which is converted in the body to mycophenolic acid. This active compound selectively reduces the proliferation of immune cells that are activated following organ transplantation or autoimmune responses, helping to maintain immune balance and support transplant success.

Mechanism of Action of Mycophenolate Mofetil

Mycophenolate mofetil inhibits inosine monophosphate dehydrogenase (IMPDH), a key enzyme necessary for the de novo synthesis of guanosine nucleotides. Since T and B lymphocytes rely heavily on this pathway for their growth and function, this inhibition leads to a reduced immune cell proliferation, moderating immune reactions.

Impact on Immune Cells

By targeting the synthesis of guanosine nucleotides, Cellcept lowers the activity and replication of T and B lymphocytes, critical cells in immune response, thereby supporting the body's acceptance of the transplanted organ and reducing damaging immune activity.

Biochemical Pathway of Cellcept 500

Cellcept’s active metabolite blocks the rate-limiting step in purine synthesis, depleting nucleotide pools required for DNA and RNA synthesis in lymphocytes. This biochemical interruption slows immune cell division and function without affecting other cell types that use alternate pathways.

Role in Organ Transplant Support

Cellcept 500 is used as part of combination immunosuppressive therapy to modulate immune response and support the transplanted organ's function and longevity, thereby enhancing overall transplant outcomes and patient health.

How Cellcept 500 Modulates Immune Response

By selectively inhibiting lymphocyte proliferation and reducing inflammation, Cellcept modulates the immune system’s activity, helping to maintain a balanced response that supports the survival of transplanted organs while minimizing unwanted immune reactions.

How to use CELLCEPT 500 TABLET

Dosage Instructions for Cellcept 500 Tablet

• The dosage of Cellcept 500 Tablet varies based on the type of organ transplant and patient specifics.
• Adults typically take 1 gram twice daily after a kidney transplant, and 1.5 grams twice daily following heart or liver transplants.
• Pediatric dosing is calculated based on body surface area and prescribed by a healthcare provider.

How to Take Cellcept 500 Safely

• Take Cellcept 500 on an empty stomach at least one hour before or two hours after meals unless otherwise directed by your doctor.
• Swallow the tablet whole without crushing, chewing, or breaking it.
• Consistent daily use at recommended times ensures optimal medication levels.

Dosage Guidelines for Adults and Children

• Adults generally receive fixed doses depending on transplant type, while children’s doses are personalized using body surface area calculations.
• Pediatric patients may start with oral suspension or capsules depending on age and clinical assessment by a specialist.

Timing and Frequency of Cellcept 500 Doses

• Cellcept 500 is usually administered twice daily, approximately 12 hours apart, to maintain stable drug concentration.
• Adhering to this schedule helps balance immune modulation and transplant health.

Administration Tips and Precautions

• Avoid missing doses, if a dose is missed, take it as soon as remembered unless it is near the next scheduled dose.
• Do not double doses to compensate.
• Consult your doctor before stopping or adjusting dosage.
• Inform your healthcare provider about all current medications to avoid interactions.

Side Effects Of CELLCEPT 500 TABLET

Common:

• Nausea
• Vomiting
• Diarrhoea
• Stomach pain
• Headache
• High blood pressure
• Swelling in the ankles or feet
• Infections caused by bacteria, viruses, or fungi
• Changes in white blood cell counts

When to consult your doctor?

• Sudden swelling of the face, lips, tongue, or throat, causing difficulty in breathing or swallowing.
• High fever (above 100.5°F), chills, sore throat, or other signs of infection.
• Unexplained bruising, bleeding, or persistent mouth or skin sores.
• Severe headache, vision problems, speech difficulties, or weakness on one side of the body.
• Chest pain, fast or irregular heartbeat, or shortness of breath.
• Severe stomach pain, vomiting blood or material resembling coffee grounds, or black, tarry stools.
• Signs of allergic reactions such as hives, itching, rash, or large hive-like swelling on the skin.
• New or unusual skin lesions, or moles changing in size, colour, or shape.
• Persistent fatigue, unexplained weight loss, or swollen glands.
• Pain, redness, swelling, or warmth around a wound or injection site.

How To Manage Side Effects

Diarrhea

• Hydrate Regularly: Replace lost fluids and electrolytes with oral rehydration solutions, water, or clear broths.
• Eat Bland Foods: Consume easy-to-digest foods such as bananas, rice, applesauce, and toast (BRAT diet) to reduce bowel irritation.
• Avoid Dairy and Fatty Foods: These can worsen diarrhoea and should be limited during episodes.
• Monitor Symptoms: Keep track of any persistent diarrheal episodes and inform your doctor if diarrhoea is severe or long-lasting.
• Seek Medical Advice: Consult a healthcare provider promptly if diarrhoea is accompanied by fever, dehydration, or blood in stool.

Headache

• Stay Hydrated: Drink plenty of water throughout the day to help ease headache symptoms.
• Rest in a Quiet Environment: Minimize noise and bright lights by resting in a calm, dark room.
• Use Over-the-Counter Pain Relief: Consult your doctor about using mild pain relievers like acetaminophen to alleviate headaches.
• Avoid Stressful Activities: Limit activities that increase stress or physical exertion when experiencing headaches.
• Seek Medical Advice: Contact your healthcare provider if headaches become severe, persistent, or are accompanied by other symptoms.

Nausea And Vomiting

• Stay Hydrated: Sip fluids slowly, such as water, ginger tea, or clear soups to support hydration and reduce discomfort.
• Eat Small, Bland Meals: Choose light foods like crackers, toast, or plain rice to minimize stomach irritation.
• Avoid Strong Odors and Spicy Foods: These can worsen feelings of nausea and should be limited during symptoms.
• Rest and Relaxation: Rest in a comfortable position and avoid sudden movements to calm the digestive system.
• Seek Medical Advice: Consult a healthcare provider promptly if nausea is severe, persistent, or accompanied by vomiting.

Stomach Pain

• Take Medication with Food: Unless otherwise advised, take Cellcept with or after meals to reduce stomach upset.
• Use Mild Antacids: Discuss with your healthcare provider about using antacids or acid reducers to ease stomach discomfort.
• Avoid Irritating Foods: Steer clear of spicy, acidic, or greasy foods that may aggravate stomach pain.
• Apply Warm Compress: A warm cloth or heating pad over the abdomen may help soothe stomach cramping.
• Seek Medical Advice: Contact your doctor if stomach pain is severe, persistent, or associated with other symptoms like vomiting or fever.

Warning & Precautions

Pregnancy

Contraindicated

Cellcept 500 Tablet is not recommended during pregnancy due to the high risk of miscarriage and birth defects. Women planning pregnancy or who are pregnant should inform their doctor before taking this medicine. Effective contraception is essential for women of childbearing potential during management and for at least 6 months after discontinuation. Consult your doctor if you are pregnant or planning to conceive before taking this medicine.

Breastfeeding

Contraindicated

Mycophenolate mofetil can passes into breast milk and may harm the nursing infant. Breastfeeding is not advised during Cellcept therapy. Discuss alternatives with your healthcare provider if planning to breastfeed. Consult with your doctor before taking it.

Driving and Using Machines

Use with Caution

Avoid driving or using machinery if you experience side effects such as drowsiness or dizziness or tremors or low blood pressure, or numbness.

Allergy

Contraindicated

Do not use Cellcept if you have a known allergy to mycophenolate mofetil or any other ingredient in the tablet.

Use In Pediatrics

Consult your doctor

This medicine is not recommended for use in children under the age of 2, because there is limited information on its safety and effectiveness. Consult your paediatrician before giving it.

Use In Geriatrics

Use with Caution

Elderly patients (65 years and above) should use Cellcept cautiously, especially if they are prone to viral infections, gastrointestinal bleeding, or pulmonary oedema. Consult with your doctor before taking it.

Other Warnings for CELLCEPT 500 TABLET

Before Taking Cellcept 500 Tablet, Inform Your Doctor If You:

• Experience symptoms of infection such as fever, flu, or sore throat.
• Notice any unexpected bruising, bleeding, or skin discoloration.
• Have existing digestive issues, including stomach ulcers.
• Have phenylketonuria, a rare hereditary condition that leads to phenylalanine buildup.
• Are planning to receive live vaccines, as these may not be advisable during Cellcept therapy.

Who should not take [GBNKEYWORD

CELLCEPT 500 TABLET is not recommended for use if you:

• have hereditary enzyme deficiency such as Lesch-Nyhan (neurogenetic disorder) and Kelley-Seegmiller syndrome

Diet and Lifestyle Advice

Drug - Drug interaction

01)Proton Pump Inhibitors (e.g., Omeprazole, Pantoprazole, Lansoprazole)
Interaction: Taking Cellcept with PPIs can reduce the effectiveness of Cellcept by lowering its levels in the body.
Effects: Decreased immunosuppressive activity may impact transplant organ acceptance.
Management: Inform your doctor if you are using PPIs; close monitoring and possible dose adjustments may be required.

02)Certain Antibiotics (e.g., Sulfamethoxazole/Trimethoprim, Ciprofloxacin, Amoxicillin)
Interaction: These antibiotics can reduce the absorption and effectiveness of Cellcept.
Effects: Lowered drug levels may compromise medication performance.
Management: Healthcare providers may monitor for reduced efficacy and adjust doses accordingly.

03)Antacids Containing Aluminum or Magnesium (e.g., Maalox, Mylanta)
Interaction: May decrease Cellcept absorption when taken concurrently.
Effects: Reduced drug levels can impact therapeutic outcomes.
Management: Separate administration times between Cellcept and antacids; consult your doctor for guidance.

04)Other Immunosuppressants (e.g., Cyclosporine, Tacrolimus, Sirolimus)
Interaction: Concurrent use with Cellcept increases the risk of additive immunosuppression and side effects.
Effects: Elevated risk of infections and toxicity.
Management: Regular monitoring and dose modifications as advised by healthcare practitioners.

05)Bile Acid Sequestrants (e.g., Cholestyramine, Colesevelam)
Interaction: Can reduce Cellcept absorption and effectiveness.
Effects: Potential decrease in immunosuppressive action.
Management: Avoid simultaneous use or monitor drug effectiveness closely.

Drug - Food interaction

01)High-Fat Foods
Interaction: Consuming high-fat meals around the time of Cellcept dosing can reduce the absorption of the medication.
Effects: Lowered medication levels may decrease its effectiveness.
Management: It is recommended to avoid fatty foods close to dose times and take Cellcept on an empty stomach for better absorption.

02)Deli Meats and Foods That May Contain Listeria
Interaction: Foods like deli meats, soft cheeses, and unpasteurized milk may carry Listeria bacteria, posing a risk due to weakened immune response from Cellcept.
Effects: Increased risk of infections and foodborne illness.
Management: Avoid these foods while on Cellcept therapy to reduce infection risks.

03)Raw or Undercooked Meats
Interaction: Consumption of undercooked or raw meats can increase the likelihood of bacterial or viral infections.
Effects: Heightened risk of food poisoning, which can be severe in immunocompromised patients.
Management: Always consume thoroughly cooked meats and practice food hygiene.

04)Alcohol
Interaction: Alcohol may further suppress immune function and interact negatively with Cellcept.
Effects: Increased susceptibility to infections and potential liver burden.
Management: Limit or avoid alcohol during Cellcept management, consult your doctor for personalized advice.

05)Antacids Containing Aluminum or Magnesium
Interaction: Certain antacids can decrease Cellcept absorption if taken together.
Effects: Reduced drug levels may impact therapeutic outcomes.
Management: Take antacids at least 2 hours after Cellcept or avoid concurrent usage.

Synopsis

More Information

FAQs About CELLCEPT 500 TABLET

References

1. KD Tripathi. Immunosuppressant Drugs. Essentials of Medical Pharmacology. Seventh Edition,2013. Page-883.
2. Surjushe A, Saple D G. Mycophenolate mofetil. Indian J Dermatol Venereol Leprol 2008;74:180-184. [Accessed on 24th September 2025]. 
3. Mycophenolate Mofetil in the Treatment of Steroid-Dependent or Frequently Relapsing Nephrotic Syndrome in Children: A Meta-Analysis. NCBI. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. 2021. [Accessed on 24th September 2025] 
4. CellCept 500 mg film-coated tablets mycophenolate mofetil. Roche Registration GmbH. [Accessed on 24th September 2025]. 

Useful Diagnostic Tests

• Complete Blood Count (CBC)
• Kidney Function test (KFT)
• Liver function test (LFT)
• Sugar Risk Package
• Lipid Profile

Author Details

Written By Srilekha. R - B.Pharm

Reviewed For Accuracy By Dr. M N Himaja - MBBS

Last updated on 14 Oct 2024 | 10:38 AM(IST)