Reported Reactions

Drugs › Antimetabolite immunosuppressant

Generic name

Mycophenolic acid: adverse event reports filed with FDA

13,844 reports list it as a suspect or interacting product, 2004–2026. Class: Antimetabolite immunosuppressant. Also reported as Mycophenolic Acid Delayed-Release Tablets, Mycophenolic Acid 360mg, Mycophenolic Acid 180mg.

13,844
reports as suspect product
0.1% of all reports · about 620 a year
1,632
reports, 12 months to June 2026
1,922 in the 12 months before
96.3%
marked serious by the reporter
92.4% across the class
17.3%
record death among outcomes, as reported
2,390 reports · not verified by FDA

Between March 2004 and June 2026, 13,844 adverse event reports received by FDA list mycophenolic acid, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (6,813) are left out of every figure here.

In the 12 months to June 2026, 1,632 reports listed it, down 15% from 1,922 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 620 reports a year and 0.1% of the 20,646,523 reports in the database, and 11.4% of the reports for the antimetabolite immunosuppressant class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are off label use (9.6%), drug ineffective (8.1%) and diarrhoea (4.9%). A report can list several reactions, so shares add to more than 100%; 2,037 different terms appear across these reports. Off label use is recorded in 9.6% of these reports, a smaller share than in the median antimetabolite immunosuppressant drug (13%).

96.3% of the reports are marked serious by the reporter (92.4% across the class); 17.3% record death among the outcomes and 45.4% record hospitalisation, as reported. 52.9% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (31.7%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

0130259Jul 2021: 84Aug 2021: 105Sep 2021: 79Oct 2021: 109Nov 2021: 115Dec 2021: 1302022Jan 2022: 107Feb 2022: 133Mar 2022: 128Apr 2022: 96May 2022: 95Jun 2022: 85Jul 2022: 112Aug 2022: 111Sep 2022: 150Oct 2022: 133Nov 2022: 138Dec 2022: 1532023Jan 2023: 106Feb 2023: 113Mar 2023: 85Apr 2023: 94May 2023: 127Jun 2023: 136Jul 2023: 146Aug 2023: 142Sep 2023: 156Oct 2023: 101Nov 2023: 89Dec 2023: 1932024Jan 2024: 122Feb 2024: 118Mar 2024: 163Apr 2024: 214May 2024: 158Jun 2024: 149Jul 2024: 108Aug 2024: 115Sep 2024: 119Oct 2024: 259Nov 2024: 175Dec 2024: 1842025Jan 2025: 198Feb 2025: 149Mar 2025: 154Apr 2025: 147May 2025: 150Jun 2025: 164Jul 2025: 214Aug 2025: 230Sep 2025: 178Oct 2025: 121Nov 2025: 81Dec 2025: 1102026Jan 2026: 132Feb 2026: 119Mar 2026: 139Apr 2026: 113May 2026: 88Jun 2026: 107

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

09481,8962004: 920042005: 122006: 112007: 1820072008: 382009: 512010: 6620102011: 1282012: 1172013: 13420132014: 2592015: 3662016: 39420162017: 5172018: 6532019: 91520192020: 1,6012021: 1,1472022: 1,44120222023: 1,4882024: 1,8842025: 1,89620252026: 698

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Mycophenolic acid reports recording the termmedian drug in antimetabolite immunosuppressant

  1. Off label useused for a purpose or in a way not on the label9.6%1,323
  2. Drug ineffectivethe medicine did not work as expected8.1%1,121
  3. Diarrhoealoose or frequent stools4.9%683
  4. Covid-19COVID-19 infection4.4%616
  5. Pyrexiafever4.2%579
  6. Product use in unapproved indicationused for a purpose not on the label4.1%565
  7. Acute kidney injurysudden loss of kidney function4%559
  8. Deaththe patient died; cause not stated by this term3.4%469
  9. Sepsisa severe body-wide response to infection3.2%440
  10. Nauseafeeling sick3.1%425
  11. Pneumonialung infection2.8%384
  12. Vomitingbeing sick2.7%375
  13. Drug interactionan interaction between medicines2.7%373
  14. Post transplant lymphoproliferative disorder2.7%373
  15. Dyspnoeashortness of breath2.6%356
  16. Abdominal painstomach or belly pain2.5%351
  17. Headachehead pain2.5%347
  18. Condition aggravatedthe condition being treated got worse2.4%335
  19. Renal impairmentreduced kidney function2.4%333
  20. Fatiguetiredness2.4%326
  21. Neutropenialow neutrophils, a type of white blood cell2.3%315
  22. Respiratory failurethe lungs could not supply enough oxygen2.3%312
  23. Leukopenialow white blood cells2.1%291
  24. Kidney transplant rejection2.1%288
  25. Septic shockshock arising from infection2%281
  26. Urinary tract infectionbladder or urinary infection1.9%260
  27. Multiple organ dysfunction syndromeseveral organs failing1.9%259
  28. Coughcough1.9%257

Top 30 of 2,037 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 4 drugs in the antimetabolite immunosuppressant class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death17.3%2,390
Life-threatening11.1%1,536
Hospitalisation (initial or prolonged)45.4%6,282
Disability0.9%128
Congenital anomaly0.3%37
Other serious70.1%9,700
Not serious3.7%519

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 121,804 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.5%74
2 to 113.1%425
12 to 172.4%336
18 to 4420.3%2,806
45 to 6431.7%4,385
65 to 7414.8%2,047
75 and over4.4%610
Age not given22.8%3,161

Patient sex

Female39.5%5,465
Male48.8%6,750
Not given11.8%1,629

Who reported

Physician32.8%4,547
Pharmacist6.5%900
Other health professional52.9%7,320
Lawyer0%3
Consumer or non-health professional6%831
Not given1.8%243

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 47.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Immunosuppressant drug therapy3,41624.7%
Immunosuppression1,95814.1%
Renal transplant1,90413.8%
Prophylaxis against transplant rejection5383.9%
Prophylaxis against graft versus host disease3692.7%
Systemic lupus erythematosus3062.2%

The indication field is filled in by the reporter and is often blank; shares are of all 13,844 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Mycophenolic acid reports
Tacrolimus7,63955.2%
Prednisone5,20637.6%
Prednisolone1,95314.1%
Methylprednisolone1,71312.4%
Rituximab1,2469%
Cyclosporine9677%
Ciclosporin7265.2%
Basiliximab7105.1%
Mycophenolate mofetil6945%
Azathioprine6384.6%

Other products listed in reports where Mycophenolic acid is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureMycophenolic acidAntimetabolite immunosuppressantAll reports
Reports as suspect product13,844121,80420,646,523
Share of that pool—11.4%0.1%
Reports, latest 12 months1,632—1,332,454
Marked serious96.3%92.4%57.4%
Death recorded among outcomes, per 1,000 reports17318891
Hospitalisation recorded, per 1,000 reports454384213
Consumer-filed share6%12%45.8%
Top term, share of reportsOff label use 9.6%median 13%4.1%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the antimetabolite immunosuppressant class

DrugName typeReportsLatest 12 monthsMarked serious
Mycophenolate mofetilgeneric82,1259,69293.7%
CellCeptbrand17,98394188%
Myforticbrand7,85231982%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Mycophenolic acid reports

How many adverse event reports has FDA received for Mycophenolic acid?

13,844 reports list Mycophenolic acid as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,632 of them arrived in the latest 12 months. Another 6,813 list it only as a concomitant medication.

What reactions are recorded in Mycophenolic acid reports?

off label use (9.6%), drug ineffective (8.1%), diarrhoea (4.9%), covid-19 (4.4%) and pyrexia (4.2%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Mycophenolic acid was responsible.

How serious are the reports?

96.3% are marked serious by the reporter. Among the outcomes recorded, 17.3% of reports include death and 45.4% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

other health professional (52.9%), physician (32.8%) and pharmacist (6.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Mycophenolic acid rising?

1,632 reports in the 12 months to June 2026, down 15% from 1,922 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Mycophenolic acid was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Mycophenolic acid?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Mycophenolic acid as a suspect or interacting product; reports listing it only as a concomitant medication (6,813) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.