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Drug interactions

Cefaclor + Typhoid vaccine live

Severity: Moderate

Cefaclor and Typhoid vaccine live: 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

Oral live typhoid vaccine contains viable Salmonella Typhi that must colonize the gut to induce immunity. Cefaclor has some Gram-negative activity and may reduce vaccine strain viability and the immune response.

What this interaction means in plain words

Cefaclor and Typhoid vaccine live 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 may reduce survival of the live attenuated Salmonella vaccine strain.

What to do

Delay the live typhoid vaccine until the antibiotic course has finished, or use the inactivated injectable vaccine if vaccination cannot wait.

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 Cefaclor with Typhoid vaccine live?

MediHelp rates the interaction as moderate. Cefaclor and Typhoid vaccine live 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. Oral live typhoid vaccine contains viable Salmonella Typhi that must colonize the gut to induce immunity. Cefaclor has some Gram-negative activity and may reduce vaccine strain viability and the immune response.

How serious is the interaction between Cefaclor and Typhoid vaccine live?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Delay the live typhoid vaccine until the antibiotic course has finished, or use the inactivated injectable vaccine if vaccination cannot wait.

What other medicines interact with Cefaclor?

MediHelp also lists interactions of Cefaclor with, for example, Bcg vaccine live, Cholera vaccine, Kanamycin. The full list is on the Cefaclor page.

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