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Drug interactions

Amantadine + Influenza virus vaccine quadrivalent intranasal

Severity: Moderate

Amantadine and Influenza virus vaccine quadrivalent intranasal: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Amantadine has anti-influenza A activity and could suppress replication of the live attenuated vaccine virus, reducing the immune response. This may lead to inadequate protection from the intranasal vaccine.

What this interaction means in plain words

Amantadine and Influenza virus vaccine quadrivalent intranasal can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Low

Why it happens

Antiviral activity of amantadine may inhibit replication of the live attenuated vaccine virus.

What to do

Use an inactivated injectable influenza vaccine in patients taking amantadine. If the live intranasal vaccine is chosen, follow labeled timing around antiviral therapy.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Amantadine with Influenza virus vaccine quadrivalent intranasal?

MediHelp rates the interaction as moderate. Amantadine and Influenza virus vaccine quadrivalent intranasal can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Amantadine has anti-influenza A activity and could suppress replication of the live attenuated vaccine virus, reducing the immune response. This may lead to inadequate protection from the intranasal vaccine.

How serious is the interaction between Amantadine and Influenza virus vaccine quadrivalent intranasal?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use an inactivated injectable influenza vaccine in patients taking amantadine. If the live intranasal vaccine is chosen, follow labeled timing around antiviral therapy.

What other medicines interact with Amantadine?

MediHelp also lists interactions of Amantadine with, for example, Ethanol, Memantine-donepezil, Metoclopramide. The full list is on the Amantadine page.

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