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Drug interactions

Bleomycin + Cholera vaccine

Severity: Moderate

Bleomycin and Cholera vaccine: 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

Bleomycin-based chemotherapy can suppress immune function and may reduce the response to cholera vaccine. Protection may be inadequate, and live-attenuated vaccines carry added infection risk.

What this interaction means in plain words

Bleomycin and Cholera vaccine 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

Cytotoxic immunosuppression impairs vaccine-induced immune response.

What to do

Vaccinate at least 2 weeks before chemotherapy when possible, or after immune recovery. Avoid live vaccines during treatment.

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 Bleomycin with Cholera vaccine?

MediHelp rates the interaction as moderate. Bleomycin and Cholera vaccine 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. Bleomycin-based chemotherapy can suppress immune function and may reduce the response to cholera vaccine. Protection may be inadequate, and live-attenuated vaccines carry added infection risk.

How serious is the interaction between Bleomycin and Cholera vaccine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Vaccinate at least 2 weeks before chemotherapy when possible, or after immune recovery. Avoid live vaccines during treatment.

What other medicines interact with Bleomycin?

MediHelp also lists interactions of Bleomycin with, for example, Adenovirus types 4 and 7 live, Brentuximab, Brentuximab vedotin. The full list is on the Bleomycin page.

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