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Drug interactions

Bcg vaccine live + Certolizumab pegol

Severity: Contraindicated

Bcg vaccine live and Certolizumab pegol: 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

BCG vaccine contains live attenuated mycobacteria. TNF blockade may permit disseminated BCG infection and also weaken the vaccine response.

What this interaction means in plain words

Bcg vaccine live and Certolizumab pegol 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: Moderate

Why it happens

TNF inhibition impairs granuloma formation and mycobacterial containment.

What to do

Do not give BCG vaccine during certolizumab therapy. Vaccinate at least 4 weeks beforehand if needed.

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 Bcg vaccine live with Certolizumab pegol?

MediHelp rates the interaction as contraindicated. Bcg vaccine live and Certolizumab pegol 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. BCG vaccine contains live attenuated mycobacteria. TNF blockade may permit disseminated BCG infection and also weaken the vaccine response.

How serious is the interaction between Bcg vaccine live and Certolizumab pegol?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not give BCG vaccine during certolizumab therapy. Vaccinate at least 4 weeks beforehand if needed.

What other medicines interact with Certolizumab pegol?

MediHelp also lists interactions of Certolizumab pegol with, for example, Adenovirus types 4 and 7 live, Bcg intravesical live, Influenza virus vaccine quadrivalent intranasal. The full list is on the Certolizumab pegol page.

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