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Drug interactions

Cholera vaccine + Cytarabine

Severity: Moderate

Cholera vaccine and Cytarabine: 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

Cytarabine suppresses the bone marrow and immune function, which can reduce the antibody response to the cholera vaccine. This may leave the patient less protected than expected.

What this interaction means in plain words

Cholera vaccine and Cytarabine 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

Cytotoxic immunosuppression impairs the immune response to vaccination.

What to do

Where possible, vaccinate at least 2 weeks before starting chemotherapy or defer until immune recovery. Consider revaccination after therapy if given during treatment.

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 Cholera vaccine with Cytarabine?

MediHelp rates the interaction as moderate. Cholera vaccine and Cytarabine 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. Cytarabine suppresses the bone marrow and immune function, which can reduce the antibody response to the cholera vaccine. This may leave the patient less protected than expected.

How serious is the interaction between Cholera vaccine and Cytarabine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Where possible, vaccinate at least 2 weeks before starting chemotherapy or defer until immune recovery. Consider revaccination after therapy if given during treatment.

What other medicines interact with Cytarabine?

MediHelp also lists interactions of Cytarabine with, for example, Adenovirus types 4 and 7 live, Axicabtagene ciloleucel, Belatacept. The full list is on the Cytarabine page.

Full monographs, dosing and an interaction checker in the MediHelp app

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