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What the FDA labels say about taking them together

Dexlansoprazole and mycophenolate mofetil

Dexlansoprazole's FDA label of February 17, 2025 names mycophenolate mofetil in its drug interactions section; mycophenolate mofetil's label does not name dexlansoprazole itself but warns about its class (Proton pump inhibitors (PPIs)). The dexlansoprazole label: “Dexlansoprazole can reduce the absorption of other drugs due to its effect on reducing intragastric acidity.”

Check it at the source: the dexlansoprazole FDA label on DailyMed (effective February 17, 2025, Takeda Pharmaceuticals America, Inc.); the mycophenolate mofetil FDA label on DailyMed (effective August 5, 2026, Genentech, Inc.).

What does the dexlansoprazole label say about mycophenolate mofetil?

Dexlansoprazole label, drug interactions

Clinical Impact: Dexlansoprazole can reduce the absorption of other drugs due to its effect on reducing intragastric acidity. Intervention: Mycophenolate mofetil (MMF): Coadministration of PPIs in healthy subjects and in transplant patients receiving MMF has been reported to reduce the exposure to the active metabolite, mycophenolic acid (MPA), possibly due to a decrease in MMF solubility at an increased gastric pH. …

Source: FDA drug label (Dexilant), Takeda Pharmaceuticals America, Inc., effective February 17, 2025 (SPL set 9819f033-3bbe-442e-8e92-45fec77b237d), via openFDA; the full label on DailyMed

What does the mycophenolate mofetil label say about dexlansoprazole?

Mycophenolate mofetil's label does not name dexlansoprazole itself; it warns about its class (Proton pump inhibitors (PPIs)):

Mycophenolate mofetil label, drug interactions

DRUG INTERACTIONS See FPI for drugs that may interfere with systemic exposure and reduce CELLCEPT efficacy: antacids with magnesium or aluminum hydroxide, proton pump inhibitors, drugs that interfere with enterohepatic recirculation, telmisartan, calcium-free phosphate binders. ( 7.1 ) CELLCEPT may reduce effectiveness of oral contraceptives.

Mycophenolate mofetil label, drug interactions

Proton Pump Inhibitors (PPIs) Clinical Impact Concomitant use with PPIs decreases MPA systemic exposure [see Clinical Pharmacology (12.3) ], which may reduce CELLCEPT efficacy.

Source: FDA drug label (CellCept), NDA050722 (Roche Palo), as published by Genentech, Inc., effective August 5, 2026 (SPL set 37241e87-4af4-4dc3-a1aa-ea6f20d8dc40), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

9Dexlansoprazole generic labelers
36Mycophenolate mofetil generic labelers
DexlansoprazoleMycophenolate mofetil
Labeled forAcid reflux and ulcersOrgan transplant rejection
Boxed warningNoYes
Pharmacy cost (NADAC)$3.71 per capsule 60 mg capsule$0.138 per capsule 250 mg capsule
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

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