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What the FDA labels say about taking them together

Mycophenolate mofetil and omeprazole

Omeprazole's FDA label of April 22, 2024 names mycophenolate mofetil in its drug interactions section; mycophenolate mofetil's label does not name omeprazole itself but warns about its class (Proton pump inhibitors (PPIs)). The omeprazole label: “Omeprazole can reduce the absorption of other drugs due to its effect on reducing intragastric acidity.”

Check it at the source: the mycophenolate mofetil FDA label on DailyMed (effective August 5, 2026, Genentech, Inc.); the omeprazole FDA label on DailyMed (effective April 22, 2024, Apotex Corp).

What does the mycophenolate mofetil label say about omeprazole?

Mycophenolate mofetil's label does not name omeprazole 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

What does the omeprazole label say about mycophenolate mofetil?

Omeprazole label, drug interactions

Clinical Impact: Omeprazole can reduce the absorption of other drugs due to its effect on reducing intragastric acidity. Intervention: Mycophenolate mofetil (MMF): Co-administration of omeprazole 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 (Omeprazole), Apotex Corp, effective April 22, 2024 (SPL set b83329ac-a65e-b3af-a3fb-c5a6c740e5e7), 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

36Mycophenolate mofetil generic labelers
118Omeprazole generic labelers
Mycophenolate mofetilOmeprazole
Labeled forOrgan transplant rejectionAcid reflux and ulcers
Boxed warningYesNo
Pharmacy cost (NADAC)$0.138 per capsule 250 mg capsule$0.0295 per capsule 20 mg capsule
Shortage nowNo current entryA presentation being discontinued

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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