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Drug interactions

Bcg vaccine live + Oxaliplatin

Severity: Contraindicated

Bcg vaccine live and Oxaliplatin: 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

In patients immunosuppressed by oxaliplatin, live BCG may cause disseminated BCG infection and the vaccine may be less effective.

What this interaction means in plain words

Bcg vaccine live and Oxaliplatin 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: High

Why it happens

Cytotoxic immunosuppression impairs control of live vaccine bacteria and reduces the immune response.

What to do

Do not give BCG during oxaliplatin therapy; defer until immune recovery, generally at least 3 months after 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 Bcg vaccine live with Oxaliplatin?

MediHelp rates the interaction as contraindicated. Bcg vaccine live and Oxaliplatin 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. In patients immunosuppressed by oxaliplatin, live BCG may cause disseminated BCG infection and the vaccine may be less effective.

How serious is the interaction between Bcg vaccine live and Oxaliplatin?

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 during oxaliplatin therapy; defer until immune recovery, generally at least 3 months after treatment ends.

What other medicines interact with Oxaliplatin?

MediHelp also lists interactions of Oxaliplatin with, for example, Adenovirus types 4 and 7 live, Influenza virus vaccine quadrivalent intranasal, Measles mumps and rubella vaccine live. The full list is on the Oxaliplatin page.

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