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Drug interactions

Antithymocyte globulin equine + Human papillomavirus vaccine

Severity: Moderate

Antithymocyte globulin equine and Human papillomavirus vaccine: 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

Equine antithymocyte globulin depletes T lymphocytes and causes profound immunosuppression, which can blunt the antibody response to HPV vaccination. Vaccine-induced protection may therefore be incomplete or short-lived.

What this interaction means in plain words

Antithymocyte globulin equine and Human papillomavirus vaccine 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: Moderate

Why it happens

T-cell depletion by the antithymocyte globulin impairs the immune response to the inactivated vaccine.

What to do

Give HPV vaccine before starting antithymocyte globulin when feasible. If vaccinated during or soon after treatment, consider revaccination or antibody assessment once immune recovery has occurred.

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 Antithymocyte globulin equine with Human papillomavirus vaccine?

MediHelp rates the interaction as moderate. Antithymocyte globulin equine and Human papillomavirus vaccine 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. Equine antithymocyte globulin depletes T lymphocytes and causes profound immunosuppression, which can blunt the antibody response to HPV vaccination. Vaccine-induced protection may therefore be incomplete or short-lived.

How serious is the interaction between Antithymocyte globulin equine and Human papillomavirus vaccine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give HPV vaccine before starting antithymocyte globulin when feasible. If vaccinated during or soon after treatment, consider revaccination or antibody assessment once immune recovery has occurred.

What other medicines interact with Human papillomavirus vaccine?

MediHelp also lists interactions of Human papillomavirus vaccine with, for example, Antithymocyte globulin rabbit, Atidarsagene autotemcel, Belimumab. The full list is on the Human papillomavirus vaccine page.

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