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Drug interactions

Ceftazidime + Typhoid vaccine live

Severity: Moderate

Ceftazidime 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 depends on viable attenuated Salmonella Typhi colonizing the gut. Ceftazidime has activity against Salmonella and may reduce vaccine viability and the immune response.

What this interaction means in plain words

Ceftazidime 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 inhibit the live attenuated Salmonella strain, reducing immunogenicity.

What to do

Give live oral typhoid vaccine at least 3 days after the last ceftazidime dose, or vaccinate before starting it. The inactivated Vi vaccine is an alternative when timing cannot be separated.

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 Ceftazidime with Typhoid vaccine live?

MediHelp rates the interaction as moderate. Ceftazidime 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 depends on viable attenuated Salmonella Typhi colonizing the gut. Ceftazidime has activity against Salmonella and may reduce vaccine viability and the immune response.

How serious is the interaction between Ceftazidime 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: Give live oral typhoid vaccine at least 3 days after the last ceftazidime dose, or vaccinate before starting it. The inactivated Vi vaccine is an alternative when timing cannot be separated.

What other medicines interact with Ceftazidime?

MediHelp also lists interactions of Ceftazidime with, for example, Amikacin, Cholera vaccine, Dexamethasone-tobramycin. The full list is on the Ceftazidime page.

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