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Drug interactions

Deflazacort + Hepatitis a / typhoid vaccine

Severity: Moderate

Deflazacort and Hepatitis a / typhoid 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

Deflazacort may reduce antibody responses to this inactivated vaccine (Vi polysaccharide typhoid plus hepatitis A). Protection may therefore be lower than expected, but there is no risk of vaccine-related infection.

What this interaction means in plain words

Deflazacort and Hepatitis a / typhoid 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: Low

Why it happens

Glucocorticoid immunosuppression decreases antibody production following vaccination.

What to do

Vaccinate when indicated, preferably before starting therapy. Emphasise food and water hygiene during travel and consider serology or revaccination after steroids are stopped.

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 Hepatitis a / typhoid vaccine?

MediHelp rates the interaction as moderate. Deflazacort and Hepatitis a / typhoid 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. Deflazacort may reduce antibody responses to this inactivated vaccine (Vi polysaccharide typhoid plus hepatitis A). Protection may therefore be lower than expected, but there is no risk of vaccine-related infection.

How serious is the interaction between Deflazacort and Hepatitis a / typhoid 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: Vaccinate when indicated, preferably before starting therapy. Emphasise food and water hygiene during travel and consider serology or revaccination after steroids are stopped.

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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