Mycophenolate Mofetil side effects: what 134,957 FDA adverse event reports show
Drug class
Antimetabolite immunosuppressant
Who reports
134,957 reports · 91% serious · 24,236 with death outcome · 50% female
Used for
Mycophenolate mofetil (MMF) is indicated for the prophylaxis of organ rejection, in adult and pediatric recipients 3 months of age and older of allogeneic kidney , heart or liver transplants , in combination with other immunosuppressants.
What it is
Mycophenolate mofetil is a carboxylic ester resulting from the formal condensation between the carboxylic acid group of mycophenolic acid and the hydroxy group of 2-(morpholin-4-yl)ethanol.
Boxed warning
EMBRYOFETAL TOXICITY, MALIGNANCIES and SERIOUS INFECTIONS Use during pregnancy is associated with increased risks of first trimester pregnancy loss and congenital malformations. Avoid if safer treatment options are available.
Causality screen of the 40 strongest signals
What the badges mean
- Labeled adverse reaction The exact term appears in the label's warnings or adverse-reactions sections: a known, expected effect. The FAERS signal confirms the label rather than discovering anything.
- Labeled (related wording) The label describes this effect under different wording (e.g. 'neutropenia' for 'neutrophil count decreased'). Treated as known.
- Likely indication confounding The term appears in the label's indications: reports probably describe the disease being treated (or its progression), not a drug effect. Classic confounding by indication.
- Not in label — unassessed Not found in the label text, not an artifact pattern. This is a genuine candidate for a formal causality assessment (Bradford Hill / WHO-UMC); it has NOT had one here.
Strongest disproportionality signals
Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only (and, for the 300 most-reported drugs, adjusted for age band), and flags pairs whose reports are unusually skewed by sex or come mostly from consumers. Each row also shows the PRR against the other drugs of the same FDA class, which removes most confounding by the condition being treated, and a calibrated p-value: on validation, known non-causes average an ROR of about 2, so significance is judged against that empirical null (✓ = p < 0.05 after calibration). 1,339 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.
| Reaction | Reports | PRR 95% CI · ROR · χ²/p | EBGM EB05 · IC025 | Label screen | Serious-only & strata | Trial cross-check |
|---|---|---|---|---|---|---|
| Smooth muscle cell neoplasm | 290 | 371.0 299.8–459.2ROR 371.8 · calibrated p 2e-12 ✓ | 107.9 EB05 97.9 · IC025 +6.3 3/3 methods agree | Not in label — unassessed | serious n=289 · ♀ 82% (drug 50%) · 100% clinician | not reported in cached trials |
| Polyomavirus-associated nephropathy | 1,471 | 271.8 249.6–295.9ROR 274.8 · calibrated p 2e-11 ✓ | 98.1 EB05 94.0 · IC025 +6.5 3/3 methods agree | Labeled adverse reaction exact term | serious n=1,471 · ♀ 28% (drug 50%) · 97% clinician | not reported in cached trials |
| Renal graft infection | 144 | 257.9 197.3–337.2ROR 258.2 · calibrated p 8e-11 ✓ | 95.2 EB05 82.8 · IC025 +5.9 3/3 methods agree | Labeled (related wording) related wording | serious n=144 · 100% clinician | not reported in cached trials |
| Trichodysplasia spinulosa | 233 | 255.2 206.9–314.8ROR 255.6 · calibrated p 7e-11 ✓ | 95.3 EB05 85.4 · IC025 +6.1 3/3 methods agree | Not in label — unassessed | serious n=201 · 100% clinician | not reported in cached trials |
| Transplant dysfunction | 1,030 | 221.5 201.3–243.7ROR 223.2 · calibrated p 2e-10 ✓ | 90.7 EB05 86.1 · IC025 +6.3 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious n=1,030 · 96% clinician | not reported in cached trials |
| Malacoplakia | 227 | 216.0 176.5–264.4ROR 216.4 · calibrated p 3e-10 ✓ | 89.2 EB05 79.9 · IC025 +6.0 3/3 methods agree | Not in label — unassessed | serious n=223 · 100% clinician | not reported in cached trials |
| Grip strength | 134 | 214.8 165.1–279.3ROR 215.0 · calibrated p 4e-10 ✓ | 88.6 EB05 76.7 · IC025 +5.8 3/3 methods agree | Not in label — unassessed | serious n=134 · ♀ 100% (drug 50%) · 100% clinician | not reported in cached trials |
| Polyomavirus viraemia | 555 | 195.6 172.5–221.8ROR 196.4 · calibrated p 5e-10 ✓ | 85.9 EB05 80.1 · IC025 +6.2 3/3 methods agree | Not in label — unassessed | serious n=551 · 97% clinician | not reported in cached trials |
| Chronic allograft nephropathy | 434 | 192.1 166.8–221.3ROR 192.7 · calibrated p 6e-10 ✓ | 85.2 EB05 78.7 · IC025 +6.1 3/3 methods agree | Labeled (related wording) related wording | serious n=433 · 93% clinician | not reported in cached trials |
| Delayed graft function | 389 | 191.7 165.1–222.5ROR 192.2 · calibrated p 7e-10 ✓ | 85.1 EB05 78.2 · IC025 +6.1 3/3 methods agree | Not in label — unassessed | serious n=389 · 94% clinician | not reported in cached trials |
| C-reactive protein | 494 | 187.1 164.0–213.4ROR 187.8 · calibrated p 8e-10 ✓ | 84.2 EB05 78.2 · IC025 +6.1 3/3 methods agree | Labeled adverse reaction exact term | serious n=494 · ♀ 100% (drug 50%) · 96% clinician | not reported in cached trials |
| Phaeohyphomycosis | 245 | 179.3 149.1–215.7ROR 179.7 · calibrated p 1e-9 ✓ | 82.4 EB05 74.1 · IC025 +5.9 3/3 methods agree | Not in label — unassessed | serious n=245 · ♀ 28% (drug 50%) · 100% clinician | not reported in cached trials |
| Heart transplant rejection | 557 | 178.5 158.0–201.8ROR 179.3 · calibrated p 1e-9 ✓ | 82.5 EB05 76.9 · IC025 +6.1 3/3 methods agree | Likely indication confounding term in indications; also in warnings | serious n=556 | NCT00300274: 26/268 (9.7%) on Mycophenolate Mofetil (serious AE) |
| Transplant rejection | 4,103 | 164.3 157.3–171.7ROR 169.5 · calibrated p 2e-9 ✓ | 79.5 EB05 77.5 · IC025 +6.2 3/3 methods agree | Likely indication confounding term in indications; also in warnings | serious PRR 50.4 · 93% clinician | NCT00300274: 26/268 (9.7%) on Mycophenolate Mofetil (serious AE) |
| Swollen joint count | 121 | 151.0 117.4–194.2ROR 151.1 · calibrated p 7e-9 ✓ | 75.4 EB05 64.8 · IC025 +5.6 3/3 methods agree | Not in label — unassessed | serious n=121 · ♀ 100% (drug 50%) · 100% clinician | not reported in cached trials |
| Parvovirus b19 infection | 429 | 148.1 129.7–169.1ROR 148.6 · calibrated p 6e-9 ✓ | 75.3 EB05 69.5 · IC025 +6.0 3/3 methods agree | Not in label — unassessed | serious n=382 · 100% clinician | not reported in cached trials |
| Deep vein thrombosis postoperative | 937 | 142.8 130.6–156.1ROR 143.8 · calibrated p 7e-9 ✓ | 74.1 EB05 70.2 · IC025 +6.0 3/3 methods agree | Not in label — unassessed | serious n=937 · ♀ 100% (drug 50%) · 92% clinician | not reported in cached trials |
| Pancreas transplant rejection | 96 | 139.2 105.5–183.6ROR 139.3 · calibrated p 2e-8 ✓ | 72.2 EB05 60.9 · IC025 +5.4 3/3 methods agree | Labeled (related wording) related wording | serious n=96 · ♀ 0% (drug 50%) · 100% clinician | not reported in cached trials |
| Complications of transplanted heart | 100 | 134.7 103.0–176.3ROR 134.8 · calibrated p 2e-8 ✓ | 71.0 EB05 60.1 · IC025 +5.4 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious n=100 · ♀ 0% (drug 50%) · 100% clinician | NCT00300274: 2/268 (0.7%) on Mycophenolate Mofetil (serious AE) |
| Mycobacterium haemophilum infection | 117 | 132.9 103.7–170.3ROR 133.0 · calibrated p 2e-8 ✓ | 70.6 EB05 60.5 · IC025 +5.5 3/3 methods agree | Not in label — unassessed | serious n=117 · ♀ 0% (drug 50%) · 100% clinician | not reported in cached trials |
| Complications of transplanted kidney | 1,019 | 131.1 120.6–142.6ROR 132.1 · calibrated p 1e-8 ✓ | 70.8 EB05 67.3 · IC025 +6.0 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious n=1,016 · 92% clinician | not reported in cached trials |
| Post transplant lymphoproliferative disorder | 2,253 | 126.9 120.1–134.2ROR 129.1 · calibrated p 2e-8 ✓ | 69.6 EB05 67.3 · IC025 +6.0 3/3 methods agree | Labeled (related wording) related wording | serious n=2,250 · 98% clinician | not reported in cached trials |
| Alternaria infection | 164 | 125.5 102.0–154.3ROR 125.6 · calibrated p 3e-8 ✓ | 68.7 EB05 60.3 · IC025 +5.6 3/3 methods agree | Not in label — unassessed | serious n=162 · ♀ 0% (drug 50%) · 100% clinician | not reported in cached trials |
| Lupus vulgaris | 520 | 120.9 107.7–135.6ROR 121.3 · calibrated p 3e-8 ✓ | 67.7 EB05 62.9 · IC025 +5.8 3/3 methods agree | Not in label — unassessed | serious n=520 · ♀ 100% (drug 50%) · 95% clinician | not reported in cached trials |
| Human polyomavirus infection | 227 | 120.8 101.5–143.8ROR 121.0 · calibrated p 3e-8 ✓ | 67.4 EB05 60.4 · IC025 +5.7 3/3 methods agree | Labeled (related wording) related wording | serious n=212 · 100% clinician | not reported in cached trials |
| Bk virus infection | 1,455 | 119.7 111.8–128.2ROR 121.0 · calibrated p 3e-8 ✓ | 67.4 EB05 64.5 · IC025 +6.0 3/3 methods agree | Labeled adverse reaction exact term | serious n=1,403 · 97% clinician | NCT00300274: 1/279 (0.4%) on Mycophenolate Mofetil (serious AE) |
| Renal transplant failure | 425 | 117.4 103.5–133.3ROR 117.8 · calibrated p 4e-8 ✓ | 66.5 EB05 61.4 · IC025 +5.8 3/3 methods agree | Labeled (related wording) related wording | serious n=424 · 94% clinician | not reported in cached trials |
| Chronic graft versus host disease in skin | 372 | 107.5 94.1–122.7ROR 107.8 · calibrated p 7e-8 ✓ | 63.2 EB05 58.0 · IC025 +5.7 3/3 methods agree | Not in label — unassessed | serious n=372 · 93% clinician | not reported in cached trials |
| Graft loss | 295 | 104.7 90.3–121.4ROR 104.9 · calibrated p 9e-8 ✓ | 62.2 EB05 56.5 · IC025 +5.6 3/3 methods agree | Labeled adverse reaction exact term | serious n=293 · 100% clinician | not reported in cached trials |
| Complications of transplanted lung | 120 | 100.9 80.1–127.1ROR 101.0 · calibrated p 1e-7 ✓ | 60.5 EB05 52.0 · IC025 +5.3 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious n=120 · ♀ 0% (drug 50%) · 100% clinician | not reported in cached trials |
| Graft dysfunction | 114 | 100.9 79.6–127.9ROR 101.0 · calibrated p 2e-7 ✓ | 60.5 EB05 51.7 · IC025 +5.3 3/3 methods agree | Not in label — unassessed | serious n=113 · ♀ 0% (drug 50%) · 100% clinician | not reported in cached trials |
| Kidney transplant rejection | 1,880 | 99.5 93.9–105.4ROR 100.8 · calibrated p 1e-7 ✓ | 60.5 EB05 58.3 · IC025 +5.8 3/3 methods agree | Likely indication confounding term in indications; also in warnings | serious n=1,876 | not reported in cached trials |
| Acute graft versus host disease in intestine | 536 | 96.1 86.3–107.1ROR 96.5 · calibrated p 2e-7 ✓ | 59.2 EB05 55.1 · IC025 +5.7 3/3 methods agree | Not in label — unassessed | serious n=535 · 100% clinician | not reported in cached trials |
| Acute graft versus host disease in skin | 1,046 | 94.9 87.9–102.5ROR 95.6 · calibrated p 2e-7 ✓ | 58.8 EB05 55.9 · IC025 +5.7 3/3 methods agree | Not in label — unassessed | serious n=1,043 · 96% clinician | not reported in cached trials |
| Acute graft versus host disease in liver | 273 | 94.7 81.4–110.1ROR 94.9 · calibrated p 2e-7 ✓ | 58.5 EB05 52.9 · IC025 +5.5 3/3 methods agree | Not in label — unassessed | serious n=273 · 100% clinician | not reported in cached trials |
| Lung transplant rejection | 251 | 94.1 80.4–110.2ROR 94.3 · calibrated p 2e-7 ✓ | 58.3 EB05 52.5 · IC025 +5.5 3/3 methods agree | Labeled (related wording) related wording | serious n=251 | not reported in cached trials |
| Cytomegalovirus gastrointestinal infection | 113 | 94.0 74.4–118.8ROR 94.1 · calibrated p 3e-7 ✓ | 58.0 EB05 49.5 · IC025 +5.2 3/3 methods agree | Labeled (related wording) related wording | serious n=113 · 100% clinician | not reported in cached trials |
| Microtia | 120 | 93.7 74.6–117.6ROR 93.8 · calibrated p 3e-7 ✓ | 57.9 EB05 49.7 · IC025 +5.3 3/3 methods agree | Not in label — unassessed | serious n=119 · ♀ 100% (drug 50%) · 100% clinician | not reported in cached trials |
| Pulmonary mucormycosis | 192 | 92.2 77.1–110.3ROR 92.3 · calibrated p 3e-7 ✓ | 57.5 EB05 51.0 · IC025 +5.4 3/3 methods agree | Not in label — unassessed | serious n=192 · 100% clinician | not reported in cached trials |
| Chronic graft versus host disease in liver | 133 | 91.2 73.6–113.1ROR 91.3 · calibrated p 3e-7 ✓ | 57.0 EB05 49.3 · IC025 +5.3 3/3 methods agree | Not in label — unassessed | serious n=133 · 100% clinician | not reported in cached trials |
Clinical concept groups
MedDRA splits one clinical problem across several terms (e.g. "neutropenia", "neutrophil count decreased", "agranulocytosis"), which dilutes term-level signals. These rows count reports with any term in a concept group (an exact union, not a sum), compared with all other drugs. Groups are hand-built and listed in the methods.
| Concept | Reports | PRR 95% CI | Reading |
|---|---|---|---|
| Opportunistic infection | 8,753 | 10.610.4–10.8 | signal |
| Interstitial lung disease | 2,891 | 4.84.6–5.0 | signal |
| Kidney injury | 10,850 | 3.83.7–3.8 | signal |
| Serious infection | 15,449 | 3.23.1–3.2 | signal |
| Liver injury | 5,559 | 2.92.8–3.0 | signal |
| Neutropenia / agranulocytosis | 4,441 | 2.82.7–2.9 | signal |
| Anaemia | 4,123 | 2.22.1–2.2 | signal |
| Thrombocytopenia | 2,945 | 2.12.0–2.2 | signal |
| Rhabdomyolysis / myopathy | 1,083 | 2.12.0–2.2 | raised |
| Pancreatitis | 1,009 | 2.01.8–2.1 | raised |
| Hyperglycaemia / diabetes | 3,845 | 1.71.7–1.8 | raised |
| Hyponatraemia | 802 | 1.61.4–1.7 | raised |
| Gi bleeding | 1,610 | 1.41.3–1.4 | raised |
| Osteonecrosis | 479 | 1.31.2–1.4 | raised |
| Heart failure | 1,279 | 1.11.1–1.2 | raised |
| Venous thromboembolism | 1,483 | 1.11.0–1.1 | raised |
Trial evidence (ClinicalTrials.gov)
✓ Trial adverse-event data found on ClinicalTrials.gov
Largest completed trials with posted results that list Mycophenolate Mofetil as a study intervention. The right-hand column of the signal table shows whether each FAERS term was also recorded in these trials, with a real denominator (4 of 40 signal terms matched).
- NCT00300274 — Efficacy and Safety of Everolimus in Recipients of Heart Transplants to Prevent Acute and Chronic Rejection (N=721, PHASE3; 599 AE terms posted; arms: Everolimus 1.5 mg; Everolimus 3.0 mg; Mycophenolate Mofetil)
Caveats: trial populations, doses and follow-up differ from the reporting population; AE terms are sponsor-coded and matched here by wording; absence from a trial list means the term was not reported above the sponsor's frequency threshold, not that it cannot occur.
Most frequently reported reactions
By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.
| Reaction | Reports | PRR 95% CI · ROR · χ²/p | EBGM EB05 · IC025 | Label screen | Serious-only & strata | Trial cross-check |
|---|---|---|---|---|---|---|
| Off label use (used outside approved label) | 19,548 | 3.6 3.5–3.6ROR 4.0 · calibrated p 0.379 | 3.5 EB05 3.5 · IC025 +1.8 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 3.0 · serious PRR 3.7 | not reported in cached trials |
| Drug ineffective (drug did not work) | 11,294 | 1.3 1.3–1.4ROR 1.4 · calibrated p 0.552 | 1.3 EB05 1.3 · IC025 +0.4 | Reporting / coding artifact | age-adj. PRR 1.6 · serious PRR 2.2 | not reported in cached trials |
| Product use in unapproved indication | 7,290 | 4.7 4.6–4.9ROR 5.0 · calibrated p 0.239 | 4.6 EB05 4.5 · IC025 +2.2 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 4.4 · serious PRR 6.2 · 94% clinician | not reported in cached trials |
| Diarrhoea (diarrhea) | 6,979 | 1.7 1.7–1.7ROR 1.7 · calibrated p 0.788 | 1.7 EB05 1.7 · IC025 +0.7 | Labeled adverse reaction exact term | age-adj. PRR 1.6 · serious PRR 1.7 | NCT00300274: 5/268 (1.9%) on Mycophenolate Mofetil (serious AE) |
| Pyrexia (fever) | 5,700 | 2.6 2.5–2.7ROR 2.7 · calibrated p 0.750 | 2.6 EB05 2.5 · IC025 +1.3 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 2.0 · serious PRR 2.0 | NCT00300274: 1/167 (0.6%) on Mycophenolate Mofetil (serious AE) |
| Pneumonia (lung infection) | 5,333 | 2.6 2.5–2.7ROR 2.7 · calibrated p 0.750 | 2.6 EB05 2.5 · IC025 +1.3 3/3 methods agree | Labeled — boxed warning synonym match | age-adj. PRR 2.4 · serious PRR 1.7 | NCT00300274: 1/279 (0.4%) on Mycophenolate Mofetil (serious AE) |
| Cytomegalovirus infection | 4,929 | 65.3 63.2–67.5ROR 67.8 · calibrated p 2e-6 ✓ | 46.0 EB05 44.9 · IC025 +5.5 3/3 methods agree | Labeled (related wording) related wording | age-adj. PRR 47.3 · serious PRR 29.0 · 95% clinician | NCT00300274: 10/268 (3.7%) on Mycophenolate Mofetil (serious AE) |
| Fatigue (tiredness) | 4,593 | 0.9 0.9–0.9ROR 0.9 · calibrated p 0.252 | 0.9 EB05 0.9 · IC025 -0.2 PRR-only: not supported by EBGM or IC | Labeled (related wording) related wording | age-adj. PRR 0.8 · serious PRR 1.0 · ♀ 75% (drug 50%) | NCT00300274: 6/268 (2.2%) on Mycophenolate Mofetil (serious AE) |
| Nausea | 4,551 | 0.9 0.9–0.9ROR 0.9 · calibrated p 0.238 | 0.9 EB05 0.9 · IC025 -0.2 PRR-only: not supported by EBGM or IC | Labeled adverse reaction exact term | age-adj. PRR 0.7 · serious PRR 0.9 · ♀ 75% (drug 50%) | NCT00300274: 7/268 (2.6%) on Mycophenolate Mofetil (serious AE) |
| Condition aggravated | 4,499 | 2.3 2.3–2.4ROR 2.4 · calibrated p 0.866 | 2.3 EB05 2.3 · IC025 +1.2 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 2.1 · serious PRR 2.2 | not reported in cached trials |
| Dyspnoea (shortness of breath) | 4,230 | 1.2 1.1–1.2ROR 1.2 · calibrated p 0.418 | 1.2 EB05 1.1 · IC025 +0.2 | Labeled adverse reaction exact term | age-adj. PRR 1.1 · serious PRR 0.9 | NCT00300274: 8/268 (3.0%) on Mycophenolate Mofetil (serious AE) |
| Transplant rejection | 4,103 | 164.3 157.3–171.7ROR 169.5 · calibrated p 2e-9 ✓ | 79.5 EB05 77.5 · IC025 +6.2 3/3 methods agree | Likely indication confounding term in indications; also in warnings | serious PRR 50.4 · 93% clinician | NCT00300274: 26/268 (9.7%) on Mycophenolate Mofetil (serious AE) |
| Vomiting | 4,099 | 1.4 1.3–1.4ROR 1.4 · calibrated p 0.557 | 1.4 EB05 1.3 · IC025 +0.4 | Labeled adverse reaction exact term | age-adj. PRR 1.1 · serious PRR 1.2 · ♀ 74% (drug 50%) | NCT00300274: 5/268 (1.9%) on Mycophenolate Mofetil (serious AE) |
| Headache | 3,991 | 1.0 1.0–1.0ROR 1.0 · calibrated p 0.300 | 1.0 EB05 1.0 · IC025 -0.1 PRR-only: not supported by EBGM or IC | Labeled adverse reaction exact term | age-adj. PRR 0.8 · serious PRR 1.1 · ♀ 74% (drug 50%) | NCT00300274: 2/279 (0.7%) on Mycophenolate Mofetil (serious AE) |
| Infection | 3,855 | 4.2 4.1–4.4ROR 4.3 · calibrated p 0.321 | 4.2 EB05 4.0 · IC025 +2.0 3/3 methods agree | Labeled — boxed warning exact term | age-adj. PRR 3.5 · serious PRR 3.2 | NCT00300274: 1/167 (0.6%) on Mycophenolate Mofetil (serious AE) |
Unlabeled candidate signals
These flagged terms were not found in the FDA label text and do not match an artifact pattern. They are the pairs that would merit a structured assessment (temporality, dose-response, biological plausibility, consistency across databases, trial or cohort evidence). The screen has not done that; string-matching misses label wording, and a strong PRR can still be stimulated reporting, co-medication, or the disease itself.
- Smooth muscle cell neoplasm — n=290, PRR 371.0
- Trichodysplasia spinulosa — n=233, PRR 255.2
- Malacoplakia — n=227, PRR 216.0
- Grip strength — n=134, PRR 214.8
- Polyomavirus viraemia — n=555, PRR 195.6
- Delayed graft function — n=389, PRR 191.7
- Phaeohyphomycosis — n=245, PRR 179.3
- Swollen joint count — n=121, PRR 151.0
- Parvovirus b19 infection — n=429, PRR 148.1
- Deep vein thrombosis postoperative — n=937, PRR 142.8
✓ A hand-written Bradford Hill causality assessment exists for this drug: Mycophenolate Mofetil Hydrochloride ↔ Cytomegalovirus Infection.
Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.
Common questions
What are the most reported side effects of Mycophenolate Mofetil?
In FDA FAERS, the most frequently co-reported reaction terms for Mycophenolate Mofetil are diarrhoea, pyrexia, pneumonia, cytomegalovirus infection, fatigue, nausea. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.
Does Mycophenolate Mofetil have an FDA boxed warning?
Yes. The current FDA label carries a boxed warning: EMBRYOFETAL TOXICITY, MALIGNANCIES and SERIOUS INFECTIONS Use during pregnancy is associated with increased risks of first trimester pregnancy loss and congenital malformations. Avoid if safer treatment options are available.
Do FAERS signals prove that Mycophenolate Mofetil causes these side effects?
No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.
Sources & methods
- FDA label via openFDA (set ID 21ff53b0-b4ba-4473-91e4-76ef41681064, effective 20260527; matched on
openfda.generic_name.exact:"MYCOPHENOLATE MOFETIL" AND openfda.product_type:"HUMAN PRESCRIPTION DRUG") - PubChem CID 5281078 description (ChEBI)
- Bayesian shrinkage measures computed offline over all 1,317,300 cached pairs: BCPNN information component (IC, with Norén closed-form IC025) and MGPS empirical-Bayes geometric mean (EBGM, EB05) with a two-component gamma prior fitted by maximum marginal likelihood (α₁=0.57, β₁=0.02, α₂=1.42, β₂=0.70, w=0.17); unstratified
- FAERS pair statistics from the OpenPV build of 2026-09-14 (openFDA
count=aggregation, fieldpatient.drug.openfda.generic_name.exact, 1,379 reaction terms, min 3 co-reports); PRR/ROR with 95% CI, chi-square with Yates correction - Serious-only and stratified counts (serious:1, patient.patientsex, primarysource.qualification) from openFDA count queries; serious-only PRR uses the drug serious report total and the term global serious total (N_serious=11,882,979); strata shown only when n ≥ 20
- Seriousness and sex counts from openFDA
count=serious,patient.patientsex,seriousnessdeath - ClinicalTrials.gov API v2 (query
MYCOPHENOLATE MOFETIL, results-bearing studies sorted by enrollment)
Page generated 2026-10-14. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.