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Drug interactions

Cholera vaccine + Everolimus

Severity: Moderate

Cholera vaccine and Everolimus: 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

Everolimus is immunosuppressive and may reduce the immune response to oral cholera vaccine. Protection for travellers may be inadequate.

What this interaction means in plain words

Cholera vaccine and Everolimus 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: Low

Why it happens

mTOR inhibition impairs lymphocyte proliferation and vaccine response.

What to do

Vaccinate before starting everolimus when possible and advise on food and water precautions; consider revaccination after immune recovery.

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 Everolimus?

MediHelp rates the interaction as moderate. Cholera vaccine and Everolimus 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. Everolimus is immunosuppressive and may reduce the immune response to oral cholera vaccine. Protection for travellers may be inadequate.

How serious is the interaction between Cholera vaccine and Everolimus?

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 before starting everolimus when possible and advise on food and water precautions; consider revaccination after immune recovery.

What other medicines interact with Everolimus?

MediHelp also lists interactions of Everolimus with, for example, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal, Levoketoconazole. The full list is on the Everolimus page.

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

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