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Drug interactions

Azathioprine + Poliovirus vaccine inactivated

Severity: Moderate

Azathioprine and Poliovirus vaccine inactivated: 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

Azathioprine may reduce the immune response to inactivated poliovirus vaccine. The vaccine is safe to administer but protection may be suboptimal.

What this interaction means in plain words

Azathioprine and Poliovirus vaccine inactivated 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

Azathioprine-induced immunosuppression impairs antibody responses to vaccine antigens.

What to do

Give inactivated polio vaccine before azathioprine when possible. If given during therapy, consider serology or revaccination after immune recovery.

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 Azathioprine with Poliovirus vaccine inactivated?

MediHelp rates the interaction as moderate. Azathioprine and Poliovirus vaccine inactivated 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. Azathioprine may reduce the immune response to inactivated poliovirus vaccine. The vaccine is safe to administer but protection may be suboptimal.

How serious is the interaction between Azathioprine and Poliovirus vaccine inactivated?

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 inactivated polio vaccine before azathioprine when possible. If given during therapy, consider serology or revaccination after immune recovery.

What other medicines interact with Azathioprine?

MediHelp also lists interactions of Azathioprine with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Febuxostat. The full list is on the Azathioprine page.

Full monographs, dosing and an interaction checker in the MediHelp app

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