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Drug interactions

Dengue vaccine + Procarbazine

Severity: Major

Dengue vaccine and Procarbazine: major interaction.

Last updated Sources: Base de donnees publique des medicaments (France)

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 procarbazine-induced immunosuppression may blunt the immune response and increase the risk of vaccine-related infection. Immunity from vaccination may therefore be inadequate.

What this interaction means in plain words

Dengue vaccine and Procarbazine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Evidence level: Moderate

Why it happens

Chemotherapy-induced immunosuppression reduces vaccine response and permits replication of live attenuated virus.

What to do

Avoid live vaccines during chemotherapy and for the recommended interval after completion; vaccinate when immune function has recovered.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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References

Frequently asked questions

Can I take Dengue vaccine with Procarbazine?

MediHelp rates the interaction as major. Dengue vaccine and Procarbazine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Dengue vaccine is a live attenuated vaccine, and procarbazine-induced immunosuppression may blunt the immune response and increase the risk of vaccine-related infection. Immunity from vaccination may therefore be inadequate.

How serious is the interaction between Dengue vaccine and Procarbazine?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid live vaccines during chemotherapy and for the recommended interval after completion; vaccinate when immune function has recovered.

What other medicines interact with Procarbazine?

MediHelp also lists interactions of Procarbazine with, for example, Adenovirus types 4 and 7 live, Amitriptyline, Amoxapine. The full list is on the Procarbazine page.

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