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Drug interactions

Certolizumab pegol + Pneumococcal vaccine polyvalent

Severity: Moderate

Certolizumab pegol and Pneumococcal vaccine polyvalent: 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

TNF inhibitor therapy can lower antibody responses to pneumococcal vaccination, though most patients still achieve some protection. Reduced response matters because these patients have increased infection risk.

What this interaction means in plain words

Certolizumab pegol and Pneumococcal vaccine polyvalent 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

Vaccinate per guidelines, ideally before starting certolizumab, and do not withhold the vaccine. Follow recommended revaccination schedules for immunosuppressed patients.

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 Pneumococcal vaccine polyvalent?

MediHelp rates the interaction as moderate. Certolizumab pegol and Pneumococcal vaccine polyvalent 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. TNF inhibitor therapy can lower antibody responses to pneumococcal vaccination, though most patients still achieve some protection. Reduced response matters because these patients have increased infection risk.

How serious is the interaction between Certolizumab pegol and Pneumococcal vaccine polyvalent?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Vaccinate per guidelines, ideally before starting certolizumab, and do not withhold the vaccine. Follow recommended revaccination schedules for immunosuppressed patients.

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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