Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions about CellCept. It does not contain all
the available information. It does not take the place of talking to your doctor or
All medicines have risks and benefits. Your doctor has weighed the risks of you taking
CellCept against the benefits expected for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine.
You may need to read it again.
What CellCept is used for
CellCept contains the active ingredient mycophenolate mofetil.
CellCept belongs to a group of medicines called immunosuppressants.
Immunosuppressants are used to prevent the rejection of a transplanted organ and work
by stopping your immune system from reacting to the transplanted organ.
There are many different types of medicines used to prevent rejection of a transplanted
CellCept may be used together with other medicines known as cyclosporin and corticosteroids.
Ask your doctor if you have any questions about why CellCept has been prescribed for
Your doctor may have prescribed CellCept for another reason.
CellCept is not addictive.
This medicine is only available with a doctor's prescription.
Before you take or are given CellCept
When you must not take it
Do not take CellCept if:
1. you have an allergy to:
CellCept or any of the ingredients listed at the end of this leaflet.
Some of the symptoms of an allergic reaction may include:
shortness of breath
wheezing or difficulty breathing
swelling of the face, lips, tongue or other parts of the body
rash, itching or hives on the skin
CellCept IV solution should not be given if you have an allergy to polysorbate 80.
CellCept is harmful to an unborn baby when taken by a pregnant woman.
There have been cases of miscarriage and severe birth defects reported when patients
have taken CellCept during pregnancy.
You must tell your doctor if you are pregnant or plan to become pregnant.
CellCept may pass into human breast milk and could cause serious side effects in your
baby if you breastfeed.
4. you are a woman who could become pregnant and you are not using two reliable forms
You must use two reliable forms of contraception at the same time before beginning
CellCept therapy, during therapy and for at least six weeks after stopping CellCept,
unless you are not sexually active.
5. The package is torn or shows signs of tampering
6. The expiry date (EXP) printed on the pack has passed.
If you take this medicine after the expiry date has passed it may not work as well.
If you are not sure whether you should start taking this medicine, talk to your doctor.
Before you start to take CellCept
Tell your doctor if:
1. you are pregnant or plan to become pregnant
if you are a woman of child bearing potential, you must have two negative pregnancy
tests 8-10 days apart just prior to starting treatment with CellCept.
repeat pregnancy tests will be performed during routine follow-up visits with your
2. you are breast feeding or plan to breast feed
3. you are a sexually active man
you are recommended to use condoms during treatment and for 90 days after stopping
treatment, even if you have had a vasectomy.
your female partner(s) are recommended to use reliable contraception while you are
being treated with CellCept and for 90 days after you have stopped receiving CellCept.
you should not donate semen while you are being treated with CellCept and for 90 days
after you have stopped receiving CellCept.
4. You should not donate blood while you are being treated with CellCept and for at least
6 weeks after you stop receiving CellCept
5. you have any other health problems, especially the following:
a history of sun spots or skin cancers
a history of low blood counts of neutrophils (a type of white blood cell)
a history of serious stomach or bowel problems (such as ulceration or bleeding)
rare diseases due to a deficiency of the HGPRT enzyme such as Lesch-Nyhan or Kelley-Seegmiller
phenylketonuria. You may not be able to take CellCept oral suspension as it is a source
6. you have allergies to any other medicines, foods, preservatives or dyes
If you have not told your doctor about any of the above, tell him/her before you start
Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines, including any
that you bought without a prescription from your pharmacy, supermarket or health food
Some medicines and CellCept may interfere with each other. These include:
azathioprine, tacrolimus and sirolimus, medicines used to suppress the immune system
which can be used to prevent organ rejection after a transplant
acyclovir, ganciclovir, valaciclovir or valganciclovir, medicines used to treat certain
isavuconazole, a medicine used to treat fungal infections
antacids, medicines used to treat heartburn and indigestion
cholestyramine, a medicine used to treat high cholesterol
ciprofloxacin, amoxicillin plus calvulanic acid, norfloxacin plus metronidazole and
rifampicin, medicines used to treat infections
iron supplements, medicines used to treat low iron levels in the blood
certain vaccines, (especially live vaccines), medicines that work by causing your
body to produce its own protection against an infectious disease
proton-pump inhibitors, medicines used to treat indigestion and stomach ulcers such
as lansoprazole and pantoprazole
calcium-free phosphate binders (such as sevelamer), medicines used to treat high phosphate
levels in the blood
These medicines may be affected by CellCept or may affect how well it works. You may
need different amounts of your medicines, or you may need to take different medicines.
Your doctor and pharmacist have more information on medicines to be careful with or
avoid while taking this medicine.
How to take CellCept
Follow all directions given to you by your doctor or pharmacist carefully.
They may differ from the information contained in this leaflet.
If you do not understand the instructions on the packet ask your doctor or pharmacist
CellCept infusion is only given in a hospital setting by specially trained doctors
How much to take
Take CellCept exactly as your doctor has prescribed.
Your doctor will tell you how many CellCept capsules or tablets or how much CellCept
suspension to take each day.
Your doctor will work out how much CellCept infusion will be given to you.
CellCept Capsules and Tablets
The dose to prevent organ rejection is usually 1g to 1.5 g in the morning and 1 g
to 1.5 g at night (2 g to 3 g per day) depending on which organ has been transplanted.
The dose to prevent organ rejection is usually 2 g or 3 g per day depending on which
organ has been transplanted. This should be taken as 5 mL or 7.5 mL in the morning
and 5 mL or 7.5 mL at night using the oral dispenser provided.
For renal transplant only.
For children 2 to 18 years of age, the dose to prevent organ rejection is dependent
on the child's height and weight. The maximum dose is usually 1 g in the morning and
1 g at night (2 g daily).
The dose to prevent organ rejection is usually 2 g to 3 g per day depending on which
organ has been transplanted.
Your doctor may adjust your dose depending on your response.
How to take it
CellCept Capsules and Tablets
Swallow the capsules or tablets whole with a full glass of water.
Do not crush tablets or open or crush capsules. If a capsule breaks open accidentally,
wash any powder off your skin with soap and water.
Shake the suspension well before you measure out your dose.
Shaking the bottle will make sure that you get the correct dose.
Just before the suspension was given to you, water was added to the powder in the
bottle. The bottle will only be about three-quarters full when you receive it.
After the addition of water, the amount of suspension that can be withdrawn from the
bottle is 165 mL. However, each bottle will contain a little more than 165 mL to allow
for the small amount of suspension that cannot be withdrawn from the bottle with the
After each dose of the suspension have a glass of water.
If you accidentally spill the suspension on yourself, wash off any liquid thoroughly
with soap and water.
CellCept is added to an infusion bag and given as a 'drip' into a vein, usually over
a period of two or more hours.
It is only given in a hospital setting and doses are usually approximately 12 hours
If contact with the infusion solution occurs, wash off any liquid thoroughly with
soap and water.
When to take CellCept
It is best to take doses of CellCept capsules, tablets or suspension approximately
12 hours apart.
Take your medicine at about the same time each day.
Taking CellCept at the same time each day will have the best effect. It will also
help you remember when to take it.
How long to take CellCept
CellCept should be taken every day. It is important to keep taking CellCept to ensure
your new transplant keeps working properly.
Continue taking CellCept for as long as your doctor tells you.
If you are receiving CellCept infusion, your doctor will most likely change this medication
to CellCept capsules, tablets or suspension once you are able to take these.
If you forget to take CellCept tablets, capsules or suspension
If it is almost time for your next dose, skip the dose you missed and take your next
dose when you are meant to.
Otherwise, take it as soon as you remember and then go back to taking it as you would
Do not take a double dose to make up for the dose that you missed.
If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering to take your medicine, ask your pharmacist for some
If you take too much (overdose)
Immediately telephone your doctor or the Poisons Information Centre (telephone 13
11 26) for advice, or go to Accident and Emergency at the nearest hospital, if you
think that you or anyone else may have taken too much CellCept. Do this even if there
are no signs of discomfort or poisoning.
You may need urgent medical attention.
If you are not sure what to do, contact your doctor or pharmacist.
While you are using CellCept
Things you must do
If you are about to be started on any new medicine, remind your doctor and pharmacist
that you are taking CellCept.
Tell any other doctors, dentists, and pharmacists who treat you that you are taking
If you are going to have surgery, tell the surgeon or anaesthetist that you are taking
It may affect other medicines used during surgery.
Tell your doctor if you become pregnant while taking CellCept.
If you are a woman of child bearing potential, you must use two reliable forms of
contraception at the same time before beginning CellCept therapy, during therapy and
for at least six weeks after stopping CellCept, unless you are not sexually active.
If you are a sexually active male, you are recommended to use condoms during treatment
and for 90 days after stopping treatment, even if you have had a vasectomy.
Your female partner(s) are recommended to use reliable contraception while you are
being treated with CellCept and for 90 days after you have stopped receiving CellCept.
Tell your doctor if, for any reason, you have not taken your medicine exactly as prescribed.
Otherwise, your doctor may think that it was not effective and change your treatment
Tell your doctor if you feel your medicine is not helping your condition.
Be sure to keep all of your appointments with your doctor so that your progress can
Your doctor will need to give you regular blood tests.
Wear protective clothing and broad-spectrum sunscreen when outdoors.
Medicines that prevent the rejection of transplanted organs can increase the risk
of skin cancers.
Things you must not do
Do not stop taking CellCept or change the dose without first checking with your doctor.
Do not use CellCept to treat any other complaints unless your doctor tells you to.
Do not give your medicine to anyone else, even if they have the same condition as
Do not let yourself run out of medicine over the weekend or on holidays.
Do not crush CellCept tablets or open CellCept capsules.
Do not take any other medicines whether they require a prescription or not without
first telling your doctor or consulting with a pharmacist.
Things to be careful of
Be careful driving or operating machinery until you know how CellCept affects you
or if you experience somnolence, confusion, dizziness, tremor or hypotension.
CellCept may affect your ability to drive a car or operate machinery.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you
are taking CellCept.
This medicine helps most people who have organ transplants, but it may have unwanted
side effects in some people.
All medicines can have side effects. Sometimes they are serious, most of the time
they are not. You may need medical attention if you get some of the side effects.
To stop you rejecting your organ, transplant medications reduce your body's own defence
mechanisms. This means your body will not be as good at fighting infection. People
receiving CellCept therefore develop more infections than usual.
Patients who receive immunosuppressant medicines may also have a small increase in
their risk of developing some types of cancer. You should discuss this with your doctor.
If you are over 65 years of age you may have an increase chance of side effects occurring
due to immunosuppression.
Do not be alarmed by the following list of side effects. You may not experience any
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor or pharmacist if you notice any of the following and they worry you:
diarrhoea, constipation, nausea (feeling sick), vomiting or indigestion
stomach, chest or back pain
The above list includes the more common side effects of CellCept.
Tell your doctor immediately or go to Accident and Emergency at your nearest hospital
if you notice any of the following:
signs of other infections, e.g. fevers, chills, sore throat, ulcers of the mouth,
abdominal pain or bloody stools.
unexpected bruising or bleeding
signs of anaemia such as excessive tiredness, dizziness or looking pale
swelling of the hands, ankles or feet, lymph nodes
breathing difficulties, pain in the chest, chronic cough with blood.
The above list includes serious side effects. You may need urgent medical attention.
Serious side effects are rare.
This is not a complete list of all possible side effects. Other side effects may occur
in some people and there may be some others that are not yet known.
Tell your doctor or pharmacist if you notice anything that is making you feel unwell.
Other side effects not listed above may also occur in some people.
After using CellCept
CellCept Capsules and Tablets
Keep your capsules or tablets in the blister pack until it is time to take them.
If you take the capsules or tablets out of the blister pack they may not keep well.
Keep CellCept capsules in a cool dry place where the temperature stays below 30°C.
Keep CellCept tablets in a cool dry place where the temperature stays below 25°C.
Discard the suspension after 60 days.
The suspension only lasts for 60 days once water has been added. After this time it
may not work as well.
Keep CellCept suspension in a cool dry place where the temperature stays below 25°C.
It may be stored in a refrigerator but should not be frozen.
The infusion will be stored by the hospital pharmacy or on the ward until it is time
to use it.
Do not store CellCept or any other medicine in the bathroom or near a sink. Do not
leave it on a window sill or in the car.
Heat and dampness can destroy some medicines.
Keep it where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place
to store medicines.
If your doctor tells you to stop taking CellCept or the expiry date has passed, ask
your pharmacist what to do with any medicine that is left over.
CellCept 250 mg capsules come in packs of 100 capsules.
CellCept 500 mg tablets come in packs of 50 tablets.
CellCept 200 mg/mL suspension comes in a 225 mL bottle with an adapter and two oral
CellCept 500 mg infusion comes in packs of 4 vials. CellCept vials will be kept in
the hospital pharmacy or on the ward.
What CellCept capsules look like
CellCept capsules are oblong, blue on one end and brown on the other, printed with
black ink 'CellCept 250' on the cap and 'Roche' on the body.
CellCept capsules contain 250 mg of mycophenolate mofetil as the active ingredient.
Pregelatinised maize starch
The capsule shell contains:
Sodium lauryl sulphate
The dyes in the capsule shell are:
Indigo carmine (132)
Iron oxide red (172)
Titanium dioxide (171)
Iron oxide yellow (172)
Iron oxide black (172)
CellCept capsules are gluten and lactose free.
What CellCept tablets look like
CellCept tablets are lavender coloured and capsule shaped, engraved with 'CellCept
500' on one side and 'Roche' on the other.
CellCept tablets contain 500 mg of mycophenolate mofetil as the active ingredient.
Microcrystalline cellulose (460)
Magnesium sterate (470)
The proprietary ingredient Opadry Lavender Y-5R-10272-A (includes 464, 171, 132 and
CellCept tablets are gluten and lactose free.
What CellCept suspension looks like
CellCept suspension is a white to off-white powder.
CellCept suspension contains 1 g of mycophenolate mofetil per 5 mL as the active ingredient
Silicon dioxide (551)
Sodium citrate (331)
Mixed fruit flavour
Xanthan gum (415)
Methyl hydroxybenzoate (218)
Citric acid anhydrous (330)
What CellCept infusion looks like
CellCept infusion is a sterile white to off-white powder in a clear glass vial. It
will be made up into an infusion bag before being given to you. The solution in the
infusion bag should be clear to slightly yellow.
CellCept infusion contains 500 mg of mycophenolate mofetil as the hydrochloride salt.
Citric acid (330)
CellCept is distributed in Australia by:
Roche Products Pty Limited
ABN 70 000 132 865
Level 8, 30-34 Hickson Road
Sydney NSW 2000
Medical enquiries: 1800 233 950
Please check with your pharmacist for the latest Consumer Medicine Information.
Australian Registration Numbers
CellCept 250 mg capsules AUST R 67313
CellCept 500 mg tablets AUST R 82372
CellCept 200 mg/mL suspension AUST R 72582
CellCept 500 mg vials AUST R 68233
This leaflet was prepared on 17 October 2018.