CellCept® (mycophenolate mofetil): teratogenic risk – important new pregnancy prevention advice for women and men

Roche would like to inform healthcare professionals of important new pregnancy prevention advice for women and men taking CellCept® (mycophenolate mofetil). This recommendation follows cumulative review of birth defects which provided evidence of an increased rate of congenital malformations and spontaneous abortions associated with mycophenolate in comparison with other medicines. CellCept® is now contraindicated during pregnancy due to its mutagenic and teratogenic potential, in women of childbearing potential not using highly effective contraceptive methods and in women who are breastfeeding. Physicians are advised to ensure that women and men taking CellCept® understood the risk of harm to baby, the need for effective contraception and the need to immediately consult a physician if there is a possibility of pregnancy. Before starting CellCept® therapy, women of childbearing potential must have two negative serum or urine pregnancy tests where the second test should be performed 8 to 10 days after the first one and immediately before starting CellCept®. The Singapore package insert for CellCept® has been strengthened on the above warnings and contraindications. 
Healthcare professional, Therapeutic Products
Published:

Dear Healthcare Professional Letters

12 Dec 2019

Only abstracts of the Dear Healthcare Professional Letters (DHCPL) are provided on this website. Details of the letters can be found on the MOH Alert System, which is accessible via the Health Professionals Portal (HPP). HPP is a one-stop portal for all healthcare professionals in Singapore. Dentists, medical doctors and pharmacists may access HPP at https://www.hpp.moh.gov.sg/, and follow the procedures below to access the MOH Alert system.

Step 1: Scroll down to the bottom navigation panel of the HPP web page. Under the Healthcare Professionals section, expand the dropdown option for ‘Healthcare Professional Portal’ and select your profession. You will be redirected to the specific HPP web page to log in.

Step 2: Click on the Restricted Content icon on the left panel of the web page and log in via SingPass.

Step 3: Click on the MOH Alert icon under the ‘Applications’ section.

Step 4: Click on the Drug Alert tab to view the DHCPLs.