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Drug interactions

Cyclosporin + Diphtheria and tetanus toxoids / acellular pertussis vaccine

Severity: Minor

Cyclosporin and Diphtheria and tetanus 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

Cyclosporin may reduce the immune response to this inactivated combination vaccine, resulting in lower protection. The vaccine is non-live, so there is no risk of vaccine-derived infection and it should generally still be given.

What this interaction means in plain words

Cyclosporin and Diphtheria and tetanus 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: Moderate

Why it happens

Calcineurin inhibition dampens T-cell-dependent antibody responses to vaccine antigens.

What to do

Continue to follow the routine schedule rather than withholding the vaccine. Consider serologic checks where available and additional doses if the response is poor.

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 Cyclosporin with Diphtheria and tetanus toxoids / acellular pertussis vaccine?

MediHelp rates the interaction as minor. Cyclosporin and Diphtheria and tetanus 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. Cyclosporin may reduce the immune response to this inactivated combination vaccine, resulting in lower protection. The vaccine is non-live, so there is no risk of vaccine-derived infection and it should generally still be given.

How serious is the interaction between Cyclosporin and Diphtheria and tetanus 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: Continue to follow the routine schedule rather than withholding the vaccine. Consider serologic checks where available and additional doses if the response is poor.

What other medicines interact with Cyclosporin?

MediHelp also lists interactions of Cyclosporin with, for example, Adenovirus types 4 and 7 live, Aliskiren, Bcg vaccine live. The full list is on the Cyclosporin page.

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

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