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Drug interactions

Cyclosporin + Pneumococcal vaccine heptavalent

Severity: Moderate

Cyclosporin and Pneumococcal vaccine heptavalent: 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 can reduce antibody responses to pneumococcal conjugate vaccine, potentially giving less durable protection against pneumococcal disease in an already susceptible patient.

What this interaction means in plain words

Cyclosporin and Pneumococcal vaccine heptavalent 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

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

What to do

Vaccinate ideally at least 2 weeks before starting immunosuppression, and do not delay vaccination in patients already treated. Follow the local schedule for additional doses or revaccination.

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 Pneumococcal vaccine heptavalent?

MediHelp rates the interaction as moderate. Cyclosporin and Pneumococcal vaccine heptavalent 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 can reduce antibody responses to pneumococcal conjugate vaccine, potentially giving less durable protection against pneumococcal disease in an already susceptible patient.

How serious is the interaction between Cyclosporin and Pneumococcal vaccine heptavalent?

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 ideally at least 2 weeks before starting immunosuppression, and do not delay vaccination in patients already treated. Follow the local schedule for additional doses or revaccination.

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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