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Drug interactions

Bcg vaccine live + Penicillin g

Severity: Moderate

Bcg vaccine live and Penicillin g: 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

Live BCG is a viable bacterium, and an active antibiotic may reduce its viability in the host, which could lessen the immune response. Penicillins have limited documented activity against BCG, so the effect is mainly theoretical.

What this interaction means in plain words

Bcg vaccine live and Penicillin g 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: Low

Why it happens

Antibacterial activity could reduce replication of the live attenuated organism, though penicillin activity against Mycobacterium bovis BCG is limited.

What to do

Where timing is flexible, give BCG after the antibiotic course is complete. Do not delay urgent vaccination solely because of a penicillin.

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 Bcg vaccine live with Penicillin g?

MediHelp rates the interaction as moderate. Bcg vaccine live and Penicillin g 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. Live BCG is a viable bacterium, and an active antibiotic may reduce its viability in the host, which could lessen the immune response. Penicillins have limited documented activity against BCG, so the effect is mainly theoretical.

How serious is the interaction between Bcg vaccine live and Penicillin g?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Where timing is flexible, give BCG after the antibiotic course is complete. Do not delay urgent vaccination solely because of a penicillin.

What other medicines interact with Penicillin g?

MediHelp also lists interactions of Penicillin g with, for example, Amifampridine, Amiloride, Cholera vaccine. The full list is on the Penicillin g page.

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

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