Drug interactions
Anakinra + Influenza virus vaccine quadrivalent intranasal
Severity: Major
Anakinra and Influenza virus vaccine quadrivalent intranasal: major 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
The intranasal vaccine contains live attenuated influenza virus, which could replicate excessively in patients receiving immunosuppressive therapy like anakinra. Vaccine efficacy may also be lower.
What this interaction means in plain words
Anakinra and Influenza virus vaccine quadrivalent intranasal can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Why it happens
Immunosuppression may permit increased replication of live attenuated virus and impair the vaccine response.
What to do
Avoid the intranasal live vaccine and use an inactivated injectable influenza vaccine instead.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
Pro+ members
Unlock the full page
Create an account and start a Pro+ trial to unlock the full management advice for Anakinra and Influenza virus vaccine quadrivalent intranasal, the additional notes, the evidence detail and the whole-prescription interaction checker.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Try Pro+ free for 7 days on the web. No card needed.
Other interactions of Anakinra
- Anakinra + Bcg vaccine live Contraindicated
- Anakinra + Measles mumps and rubella vaccine Contraindicated
- Anakinra + Measles mumps and rubella vaccine live Contraindicated
- Anakinra + Measles mumps rubella and varicella vaccine live Contraindicated
- Anakinra + Measles vaccine Contraindicated
- Abatacept + Anakinra Major
Frequently asked questions
Can I take Anakinra with Influenza virus vaccine quadrivalent intranasal?
MediHelp rates the interaction as major. Anakinra and Influenza virus vaccine quadrivalent intranasal can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. The intranasal vaccine contains live attenuated influenza virus, which could replicate excessively in patients receiving immunosuppressive therapy like anakinra. Vaccine efficacy may also be lower.
How serious is the interaction between Anakinra and Influenza virus vaccine quadrivalent intranasal?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the intranasal live vaccine and use an inactivated injectable influenza vaccine instead.
What other medicines interact with Anakinra?
MediHelp also lists interactions of Anakinra with, for example, Bcg vaccine live, Measles mumps and rubella vaccine, Measles mumps and rubella vaccine live. The full list is on the Anakinra page.
Full monographs, dosing and an interaction checker in the MediHelp app
Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.
