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Drug interactions

Deflazacort + Diphtheria and tetanus toxoids

Severity: Moderate

Deflazacort and Diphtheria and tetanus toxoids: 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

Corticosteroids can reduce antibody responses to inactivated toxoid vaccines, so protection may be lower than expected. Because the vaccine is non-live, there is no risk of vaccine-related infection.

What this interaction means in plain words

Deflazacort and Diphtheria and tetanus toxoids 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

Glucocorticoid immunosuppression dampens lymphocyte activation and antibody production after vaccination.

What to do

Vaccination does not need to be withheld when it is indicated, for example for wound management; where possible, vaccinate before starting therapy or during lower-dose periods. Consider checking antibody titres or repeating the dose after steroid withdrawal if the response is in doubt.

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 Deflazacort with Diphtheria and tetanus toxoids?

MediHelp rates the interaction as moderate. Deflazacort and Diphtheria and tetanus toxoids 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. Corticosteroids can reduce antibody responses to inactivated toxoid vaccines, so protection may be lower than expected. Because the vaccine is non-live, there is no risk of vaccine-related infection.

How serious is the interaction between Deflazacort and Diphtheria and tetanus toxoids?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Vaccination does not need to be withheld when it is indicated, for example for wound management; where possible, vaccinate before starting therapy or during lower-dose periods. Consider checking antibody titres or repeating the dose after steroid withdrawal if the response is in doubt.

What other medicines interact with Deflazacort?

MediHelp also lists interactions of Deflazacort with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal. The full list is on the Deflazacort page.

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