Does Rabeprazole Sodium Interact with Mycophenolate?
The ACIPHEX label discusses reduced exposure to mycophenolic acid when proton-pump inhibitors are used with mycophenolate mofetil. Reduced gastric acidity can affect absorption.
Label evidence and limitations
Named-drug label evidence. The source specifies MMF, whereas this page’s drug name is broader. The label states that the clinical relevance to organ rejection has not been established.
Product scope: ACIPHEX oral delayed-release rabeprazole tablets and mycophenolate mofetil (MMF).
Read the DailyMed label: These highlights do not include all the information needed to use ACIPHEX DELAYED-RELEASE TABLETS safely and effectively. See full prescribing information for ACIPHEX DELAYED-RELEASE TABLETS. ACIPHEX ® (rabeprazole sodium) delayed-release tablets, for oral use Initial U.S. Approval: 1999
Section: 7 Drug Interactions — Mycophenolate mofetil. Compared version 3, label date 2026-01-27. The linked label may be updated after this comparison.
This comparison uses the label identifier saved with the CDI record. The compared version may be newer than the original extraction.
AI-assisted source comparison dated 2026-10-16. This is a comparison of label text, not independent clinical review or an individual safety assessment. CDI's stored severity category is not an FDA-assigned rating. Confirm your exact medicines and formulations with your pharmacist or prescriber before changing treatment.
- Stored CDI classification
- Moderate
- Management
- Confirm exact products with your pharmacist
- Data Source
- Product label via NLM DailyMed
What To Tell Your Doctor or Pharmacist
If you are taking Rabeprazole Sodium and your doctor is considering prescribing Mycophenolate (or vice versa), make sure to:
- Inform your doctor and pharmacist of all current medications, including over-the-counter drugs and supplements
- Ask whether the benefits of combining these medications outweigh the risks for your specific situation
- Ask what symptoms to watch for that would indicate the interaction is causing problems
- Never stop or change either medication without first consulting your healthcare provider