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Drug interactions

Cyclosporin + Influenza virus vaccine adjuvanted

Severity: Moderate

Cyclosporin and Influenza virus vaccine adjuvanted: 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

Cyclosporine may reduce the antibody response to adjuvanted H5N1 influenza vaccine. Protection may be lower than in immunocompetent people.

What this interaction means in plain words

Cyclosporin and Influenza virus vaccine adjuvanted 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

Calcineurin inhibitor immunosuppression impairs vaccine-induced immune response.

What to do

Vaccinate at least 2 weeks before starting cyclosporine when feasible. Consider serologic assessment or an additional dose in high-risk patients.

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 Cyclosporin with Influenza virus vaccine adjuvanted?

MediHelp rates the interaction as moderate. Cyclosporin and Influenza virus vaccine adjuvanted 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. Cyclosporine may reduce the antibody response to adjuvanted H5N1 influenza vaccine. Protection may be lower than in immunocompetent people.

How serious is the interaction between Cyclosporin and Influenza virus vaccine adjuvanted?

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 at least 2 weeks before starting cyclosporine when feasible. Consider serologic assessment or an additional dose in high-risk patients.

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.

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