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Mycophenolic acid (MPA) is an immunosuppressant drug that has been widely and successfully used in transplant recipients as well as in patients with immune disorders. MPA is administered as either an ester prodrug or a sodium salt and is extensively metabolized by UDP-glucuronosyltransferases (UGTs) to two glucuronidated metabolites. Mycophenolic acid derivatives choice in renal transplantation in combination with a calcineur in inhibitor and steroids.