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What the label lists and what reports show

Mycophenolic acid side effects

Mycophenolic acid's FDA label: “Most common adverse reactions (≥ 20%): anemia, leukopenia, constipation, nausea, diarrhea, vomiting, dyspepsia, urinary tract infection, CMV infection, insomnia, and postoperative pain.” FAERS holds 31,820 reports naming it through July 30, 2026; the reaction reported most often, leaving out the conditions it is used for, product-use terms and outcomes, is diarrhoea (1,969 reports).

  • Generic listed
  • Boxed warning

Check it at the source: the mycophenolic acid FDA label on DailyMed (effective July 29, 2026, Novartis Pharmaceuticals Corporation); the FDA FAERS public dashboard.

What does the patient leaflet say about side effects?

From the patient leaflet: What are the possible side effects of Myfortic?

Myfortic can cause serious side effects, including. See "What is the most important information I should know about Myfortic?" Stomach problems. Stomach and intestinal bleeding can happen in people who take Myfortic. Bleeding can be severe and you may have to be hospitalized for treatment. Inflammatory reactions. Some people taking Myfortic may have an inflammatory reaction with fever, joint stiffness, joint pain, and muscle pain. Some of these reactions may require hospitalization. This reaction could happen within weeks to months after you start treatment with Myfortic or if your dose is increased. Call your doctor right away if you experience these symptoms. Allergic (hypersensitivity) reactions. Allergic reactions, including a severe allergic reaction called anaphylaxis, can happen after taking Myfortic. […]

Source: FDA drug label, Novartis Pharmaceuticals Corporation, effective July 29, 2026 (SPL set eed26501-890d-4ff6-88e7-6dbea4726e53), via openFDA; the full label on DailyMed

What does the label list?

From the label: adverse reactions

Most common adverse reactions (≥ 20%): anemia, leukopenia, constipation, nausea, diarrhea, vomiting, dyspepsia, urinary tract infection, CMV infection, insomnia, and postoperative pain.

Table 2: Adverse Reactions (%) Reported in ≥ 10% of De novo Kidney Transplant Patients in Either Treatment Group

ReactionMyfortic 1.44 grams per day (n = 213) (%)Mycophenolate mofetil (MMF) 2 grams per day (n = 210) (%)
Anemia2222
Leukopenia1921
Constipation3840
Nausea2927
Diarrhea2425
Vomiting2320
Dyspepsia2319
Abdominal pain upper1414
Flatulence1013
Edema1718
Edema lower limb1617
Pyrexia1319
Increased blood creatinine1510
Urinary tract infection2933
CMV infection2018
Hypocalcemia1115
Hyperuricemia1313
Hyperlipidemia1210
Hypokalemia139
Hypophosphatemia119
Back pain126
Arthralgia711
Insomnia2424
Tremor1214
Headache1311

Rows and numbers as the label prints them, under its own column headings (the first rows of a longer table where it runs on). A reaction in a trial table is not necessarily caused by the medicine, and trials differ from everyday use.

From the label: adverse reactions, continued

The following adverse reactions are discussed in greater detail in other sections of the label. Embryo-Fetal Toxicity [see Boxed Warning, Warnings and Precautions (5.1)] Lymphomas and Other Malignancies [see Boxed Warning, Warnings and Precautions (5.3)] Serious Infections [see Boxed Warning, Warnings and Precautions (5.4)] New or Reactivated Viral Infections [see Warnings and Precautions (5.5)] Blood Dyscrasias, Including Pure Red Cell Aplasia [see Warnings and Precautions (5.6)] Serious GI Tract Complications [see Warnings and Precautions (5.7)] Acute Inflammatory Syndrome Associated with Mycophenolate Products [see Warnings and Precautions (5.8)] Hypersensitivity Reactions [see Warnings and Precautions (5.9)] Rare Hereditary Deficiencies [see Warnings and Precautions (5.11)] Most common adverse reactions (≥ 20%): anemia, leukopenia, constipation, nausea, diarrhea, vomiting, dyspepsia, urinary tract infection, CMV infection, insomnia, and postoperative pain. ( 6.2 ) To report SUSPECTED ADVERSE REACTIONS, contact Novartis Pharmaceuticals Corporation at 1-888-669-6682 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. …

Source: FDA drug label, Novartis Pharmaceuticals Corporation, effective July 29, 2026 (SPL set eed26501-890d-4ff6-88e7-6dbea4726e53), via openFDA; the full label on DailyMed

What do FAERS reports show?

31,820 reports list mycophenolic acid among the medicines taken, each a report of something that happened, not proof the medicine caused it; 4,426 are coded as a death and 13,782 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is. Of the 20 reactions below, 14 are named by the same term (in US spelling) in the label's adverse reactions, warnings or patient leaflet; a reaction the label does not name may still be there under another word, and a report does not show that the medicine caused it.

Reports received each year

The 25 most reported reactions

  • Off Label Use (a use or a product term, not a reaction)2,864
  • Diarrhoea (named in the label)1,969
  • Drug Ineffective (a use or a product term, not a reaction)1,826
  • Death (an outcome recorded in the report)1,431
  • Pyrexia (named in the label)1,345
  • Acute Kidney Injury1,315
  • Nausea (named in the label)1,181
  • Covid-19 (named in the label)1,051
  • Fatigue (named in the label)1,015
  • Vomiting (named in the label)978
  • Pneumonia (named in the label)966
  • Product Use In Unapproved Indication (a use or a product term, not a reaction)956
  • Dyspnoea (named in the label)933
  • Headache (named in the label)931
  • Drug Interaction (a use or a product term, not a reaction)895
  • Blood Creatinine Increased879
  • Cytomegalovirus Infection820
  • Urinary Tract Infection (named in the label)782
  • Malaise745
  • Renal Impairment (named in the label)740
  • Cough (named in the label)738
  • Anaemia (named in the label)724
  • Transplant Rejection722
  • Sepsis (named in the label)720
  • Kidney Transplant Rejection714

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026; reactions as MedDRA preferred terms

What next?

Mycophenolic acid: the full record
label, generics, price, shortages, recalls
Side effects hub
the most reported medicines and reactions