MYFORTIC GASTRO-RESISTANT TABLET 180 mg

ENTERIC COATED TABLET

**DOSAGE REGIMEN AND ADMINISTRATION** **Dosage regimen** The recommended dose is 720 mg (four 180 mg or two 360 mg Myfortic gastro-resistant tablets) twice daily (1440 mg daily dose). Myfortic delayed-release tablets and mycophenolate mofetil tablets and capsules should not be used interchangeably without physician supervision because the rate of absorption following the administration of these two products is not equivalent. **General target population** **Transplant patient** Treatment with Myfortic should be initiated and maintained by appropriately qualified transplant specialists. Myfortic should be initiated in _de-novo_ patients within 48 hours following transplantation. Myfortic can be taken with or without food. **Lupus nephritis patients** Adequate dose finding studies have not been performed. The prescriber should adjust the dose based on clinical response. The dose may be tapered for maintenance purposes following a complete or partial response (see Clinical Studies section – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_). Induction treatment with Myfortic is usually initially administered in combination with corticosteroids. **Special populations** **Renal impairment** No dose adjustments are needed in patients experiencing delayed post-operative renal graft function (see section CLINICAL PHARMACOLOGY – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_). Patients with severe chronic renal impairment (glomerular filtration rate 25 mL · min-1 · 1.73 m-2) should be carefully monitored. **Hepatic impairment** No dose adjustments are needed for renal transplant patients with severe hepatic parenchymal disease. **Pediatric patients (below 18 years old)** Safety and efficacy in pediatric patients have not been established. Limited pharmacokinetic data are available for pediatric renal transplant patients (see section CLINICAL PHARMACOLOGY – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_). **Geriatric patients (65 years of age or above)** No dose adjustment is required in this patient population. **Treatment during rejection episodes** Renal transplant rejection does not affect mycophenolic acid pharmacokinetics; dosage reduction or interruption of Myfortic is not required. **Method of administration** Myfortic tablets should not be crushed in order to maintain the integrity of the enteric coating (see sections CLINICAL PHARMACOLOGY and PHARMACEUTICAL INFORMATION – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_).