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Drug interactions

Capecitabine + Influenza virus vaccine adjuvanted

Severity: Moderate

Capecitabine and Influenza virus vaccine adjuvanted: 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

Capecitabine can suppress immune function, which may reduce the antibody response to an adjuvanted H5N1 influenza vaccine. Protection may be incomplete in treated patients.

What this interaction means in plain words

Capecitabine and Influenza virus vaccine adjuvanted 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 chemotherapy-induced immunosuppression diminishes vaccine immunogenicity.

What to do

Where possible, time vaccination before chemotherapy begins or between cycles when counts have recovered. Do not rely on the vaccine alone for protection.

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 Capecitabine with Influenza virus vaccine adjuvanted?

MediHelp rates the interaction as moderate. Capecitabine and Influenza virus vaccine adjuvanted 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. Capecitabine can suppress immune function, which may reduce the antibody response to an adjuvanted H5N1 influenza vaccine. Protection may be incomplete in treated patients.

How serious is the interaction between Capecitabine and Influenza virus vaccine adjuvanted?

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 possible, time vaccination before chemotherapy begins or between cycles when counts have recovered. Do not rely on the vaccine alone for protection.

What other medicines interact with Capecitabine?

MediHelp also lists interactions of Capecitabine with, for example, Adenovirus types 4 and 7 live, Arsenic trioxide, Axicabtagene ciloleucel. The full list is on the Capecitabine page.

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