Drug interactions
Azithromycin + Typhoid vaccine live
Severity: Moderate
Azithromycin and Typhoid vaccine live: 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
Azithromycin is active against Salmonella Typhi and may inactivate the live attenuated strain in the oral typhoid vaccine, reducing immunogenicity. Protection may therefore be incomplete.
What this interaction means in plain words
Azithromycin and Typhoid vaccine live 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.
Why it happens
Antibacterial action against the live attenuated vaccine strain reduces its viability.
What to do
Give oral live typhoid vaccine at least 3 days after the last antibiotic dose, or use the inactivated injectable vaccine if antibiotics cannot be delayed.
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?
Pro+ members
Unlock the full page
Create an account and start a Pro+ trial to unlock the full management advice for Azithromycin and Typhoid vaccine live, 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 Azithromycin
- Azithromycin + Cisapride Contraindicated
- Azithromycin + Domperidone Contraindicated
- Azithromycin + Dronedarone Contraindicated
- Azithromycin + Pimozide Contraindicated
- Azithromycin + Piperaquine Contraindicated
- Azithromycin + Thioridazine Contraindicated
Frequently asked questions
Can I take Azithromycin with Typhoid vaccine live?
MediHelp rates the interaction as moderate. Azithromycin and Typhoid vaccine live 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. Azithromycin is active against Salmonella Typhi and may inactivate the live attenuated strain in the oral typhoid vaccine, reducing immunogenicity. Protection may therefore be incomplete.
How serious is the interaction between Azithromycin and Typhoid vaccine live?
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 oral live typhoid vaccine at least 3 days after the last antibiotic dose, or use the inactivated injectable vaccine if antibiotics cannot be delayed.
What other medicines interact with Azithromycin?
MediHelp also lists interactions of Azithromycin with, for example, Cisapride, Domperidone, Dronedarone. The full list is on the Azithromycin 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.
