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Drug interactions

Anakinra + Measles mumps and rubella vaccine live

Severity: Contraindicated

Anakinra and Measles mumps and rubella vaccine live: contraindicated 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

MMR contains live attenuated viruses that may cause disseminated vaccine-strain infection in patients on anakinra. Immunogenicity may also be reduced.

What this interaction means in plain words

Anakinra and Measles mumps and rubella vaccine live are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Evidence level: Low

Why it happens

Immunosuppression impairs control of replicating live attenuated viruses.

What to do

Avoid MMR while on anakinra; vaccinate before starting therapy with an appropriate interval, or defer until treatment ends.

What to ask your pharmacist

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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 Anakinra with Measles mumps and rubella vaccine live?

MediHelp rates the interaction as contraindicated. Anakinra and Measles mumps and rubella vaccine live are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. MMR contains live attenuated viruses that may cause disseminated vaccine-strain infection in patients on anakinra. Immunogenicity may also be reduced.

How serious is the interaction between Anakinra and Measles mumps and rubella vaccine live?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid MMR while on anakinra; vaccinate before starting therapy with an appropriate interval, or defer until treatment ends.

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 rubella and varicella vaccine live. The full list is on the Anakinra page.

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