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Drug interactions

Certolizumab pegol + Tetanus and reduced diphtheria toxoids / acellular pertussis vaccine

Severity: Minor

Certolizumab pegol and Tetanus and reduced diphtheria toxoids / acellular pertussis vaccine: minor 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 may modestly reduce antibody responses to Tdap, although protective levels are usually still achieved. The vaccine is non-live and should not be withheld.

What this interaction means in plain words

Certolizumab pegol and Tetanus and reduced diphtheria toxoids / acellular pertussis vaccine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

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

What to do

Give Tdap on the routine schedule without interrupting certolizumab. Consider additional doses for wound management as per standard guidance.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Tetanus and reduced diphtheria toxoids / acellular pertussis vaccine?

MediHelp rates the interaction as minor. Certolizumab pegol and Tetanus and reduced diphtheria toxoids / acellular pertussis vaccine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. TNF inhibitor therapy may modestly reduce antibody responses to Tdap, although protective levels are usually still achieved. The vaccine is non-live and should not be withheld.

How serious is the interaction between Certolizumab pegol and Tetanus and reduced diphtheria toxoids / acellular pertussis vaccine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give Tdap on the routine schedule without interrupting certolizumab. Consider additional doses for wound management as per standard guidance.

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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