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Drug interactions

Certolizumab pegol + Influenza virus vaccine trivalent recombinant

Severity: Moderate

Certolizumab pegol and Influenza virus vaccine trivalent recombinant: 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

Anti-TNF therapy can blunt the antibody response to inactivated or recombinant vaccines, so protection from the influenza vaccine may be lower than expected. The vaccine is not live and can be given safely, but its effectiveness may be reduced.

What this interaction means in plain words

Certolizumab pegol and Influenza virus vaccine trivalent recombinant 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

TNF blockade dampens immune activation and may reduce vaccine-induced antibody production.

What to do

Give the annual influenza vaccine as recommended despite certolizumab therapy; do not withhold it. Maintain standard infection precautions and consider prompt evaluation of influenza-like illness.

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 Certolizumab pegol with Influenza virus vaccine trivalent recombinant?

MediHelp rates the interaction as moderate. Certolizumab pegol and Influenza virus vaccine trivalent recombinant 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. Anti-TNF therapy can blunt the antibody response to inactivated or recombinant vaccines, so protection from the influenza vaccine may be lower than expected. The vaccine is not live and can be given safely, but its effectiveness may be reduced.

How serious is the interaction between Certolizumab pegol and Influenza virus vaccine trivalent recombinant?

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 the annual influenza vaccine as recommended despite certolizumab therapy; do not withhold it. Maintain standard infection precautions and consider prompt evaluation of influenza-like illness.

What other medicines interact with Certolizumab pegol?

MediHelp also lists interactions of Certolizumab pegol with, for example, Adenovirus types 4 and 7 live, Bcg intravesical live, Bcg vaccine live. The full list is on the Certolizumab pegol page.

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