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Drug interactions

Cholera vaccine + Ertapenem

Severity: Moderate

Cholera vaccine and Ertapenem: 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 cholera vaccine is a live attenuated bacterial strain that must replicate in the gut to induce immunity. Systemic antibiotics reaching the gut may reduce the strain's viability and weaken the immune response.

What this interaction means in plain words

Cholera vaccine and Ertapenem 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

The antibacterial activity can reduce replication of the live attenuated vaccine strain.

What to do

Do not give the vaccine to patients who received oral or parenteral antibiotics in the preceding 14 days; delay vaccination until after this interval.

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 Ertapenem?

MediHelp rates the interaction as moderate. Cholera vaccine and Ertapenem 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 cholera vaccine is a live attenuated bacterial strain that must replicate in the gut to induce immunity. Systemic antibiotics reaching the gut may reduce the strain's viability and weaken the immune response.

How serious is the interaction between Cholera vaccine and Ertapenem?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not give the vaccine to patients who received oral or parenteral antibiotics in the preceding 14 days; delay vaccination until after this interval.

What other medicines interact with Ertapenem?

MediHelp also lists interactions of Ertapenem with, for example, Valproic acid, Typhoid vaccine live, Microbiota. The full list is on the Ertapenem page.

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