Drug interactions
Dengue vaccine + Liposomal doxorubicin
Severity: Contraindicated
Dengue vaccine and Liposomal doxorubicin: contraindicated 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
Dengue vaccine is a live attenuated vaccine, and myelosuppressive chemotherapy may blunt the immune response and allow vaccine virus replication. Immunocompromised patients are at risk of disseminated vaccine infection.
What this interaction means in plain words
Dengue vaccine and Liposomal doxorubicin are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Why it happens
Chemotherapy-induced immunosuppression impairs vaccine response and permits uncontrolled replication of live vaccine virus.
What to do
Do not give the live dengue vaccine during chemotherapy; defer until immune recovery as advised by the oncology team.
What to ask your pharmacist
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
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Other interactions of Liposomal doxorubicin
Frequently asked questions
Can I take Dengue vaccine with Liposomal doxorubicin?
MediHelp rates the interaction as contraindicated. Dengue vaccine and Liposomal doxorubicin are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Dengue vaccine is a live attenuated vaccine, and myelosuppressive chemotherapy may blunt the immune response and allow vaccine virus replication. Immunocompromised patients are at risk of disseminated vaccine infection.
How serious is the interaction between Dengue vaccine and Liposomal doxorubicin?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not give the live dengue vaccine during chemotherapy; defer until immune recovery as advised by the oncology team.
What other medicines interact with Liposomal doxorubicin?
MediHelp also lists interactions of Liposomal doxorubicin with, for example, Belatacept, Cyclosporine, Dronedarone. The full list is on the Liposomal doxorubicin page.
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