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Drug interactions

Cyclosporin + Influenza virus vaccine quadrivalent cell-cultured

Severity: Moderate

Cyclosporin and Influenza virus vaccine quadrivalent cell-cultured: 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

Cyclosporin suppresses T-cell function and can blunt the antibody response to inactivated vaccines. Patients may have lower seroprotection after vaccination and remain susceptible to influenza. The vaccine is not unsafe, but its benefit may be reduced.

What this interaction means in plain words

Cyclosporin and Influenza virus vaccine quadrivalent cell-cultured 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: High

Why it happens

Calcineurin inhibition impairs T-cell activation and T-dependent antibody responses to vaccine antigens.

What to do

Give the vaccine still, ideally at least 2 weeks before starting immunosuppression when feasible, and do not withhold annual vaccination in patients already on cyclosporin. Consider serologic assessment or revaccination if immune response is doubtful, and reinforce other preventive measures.

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 quadrivalent cell-cultured?

MediHelp rates the interaction as moderate. Cyclosporin and Influenza virus vaccine quadrivalent cell-cultured 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. Cyclosporin suppresses T-cell function and can blunt the antibody response to inactivated vaccines. Patients may have lower seroprotection after vaccination and remain susceptible to influenza. The vaccine is not unsafe, but its benefit may be reduced.

How serious is the interaction between Cyclosporin and Influenza virus vaccine quadrivalent cell-cultured?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give the vaccine still, ideally at least 2 weeks before starting immunosuppression when feasible, and do not withhold annual vaccination in patients already on cyclosporin. Consider serologic assessment or revaccination if immune response is doubtful, and reinforce other preventive measures.

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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