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Drug interactions

Carboplatin + Dengue vaccine

Severity: Major

Carboplatin and Dengue vaccine: major interaction.

Last updated Sources: Base de donnees publique des medicaments (France)

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

Dengue vaccine is a live attenuated vaccine, and myelosuppressive chemotherapy may impair the immune response to it. There is also a theoretical risk of vaccine-related infection in an immunocompromised patient.

What this interaction means in plain words

Carboplatin and Dengue vaccine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Evidence level: Moderate

Why it happens

Chemotherapy-induced immunosuppression reduces vaccine immunogenicity and may permit replication of the live virus.

What to do

Avoid giving the live dengue vaccine during chemotherapy. Defer vaccination until immune recovery, as recommended by the product labeling and oncology guidance.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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References

Frequently asked questions

Can I take Carboplatin with Dengue vaccine?

MediHelp rates the interaction as major. Carboplatin and Dengue vaccine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Dengue vaccine is a live attenuated vaccine, and myelosuppressive chemotherapy may impair the immune response to it. There is also a theoretical risk of vaccine-related infection in an immunocompromised patient.

How serious is the interaction between Carboplatin and Dengue vaccine?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid giving the live dengue vaccine during chemotherapy. Defer vaccination until immune recovery, as recommended by the product labeling and oncology guidance.

What other medicines interact with Carboplatin?

MediHelp also lists interactions of Carboplatin with, for example, Adenovirus types 4 and 7 live, Amikacin, Amphotericin b deoxycholate. The full list is on the Carboplatin page.

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