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Drug interactions

Cytarabine + Meningococcal group b vaccine

Severity: Moderate

Cytarabine and Meningococcal group b vaccine: 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

Cytarabine causes bone marrow suppression and impaired immune function, which can blunt antibody responses to inactivated vaccines such as the meningococcal group B vaccine. Patients may remain inadequately protected despite completing the vaccination series.

What this interaction means in plain words

Cytarabine and Meningococcal group b vaccine 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

Cytotoxic immunosuppression by cytarabine reduces the immune response to vaccine antigens.

What to do

When possible, vaccinate at least 2 weeks before starting chemotherapy or delay until immune recovery after treatment. If given during therapy, consider checking antibody response and revaccinating after 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 Cytarabine with Meningococcal group b vaccine?

MediHelp rates the interaction as moderate. Cytarabine and Meningococcal group b vaccine 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. Cytarabine causes bone marrow suppression and impaired immune function, which can blunt antibody responses to inactivated vaccines such as the meningococcal group B vaccine. Patients may remain inadequately protected despite completing the vaccination series.

How serious is the interaction between Cytarabine and Meningococcal group b vaccine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: When possible, vaccinate at least 2 weeks before starting chemotherapy or delay until immune recovery after treatment. If given during therapy, consider checking antibody response and revaccinating after recovery.

What other medicines interact with Cytarabine?

MediHelp also lists interactions of Cytarabine with, for example, Adenovirus types 4 and 7 live, Axicabtagene ciloleucel, Belatacept. The full list is on the Cytarabine page.

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