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Drug interactions

Gemcitabine + Influenza virus vaccine trivalent adjuvanted

Severity: Moderate

Gemcitabine and Influenza virus vaccine trivalent adjuvanted: 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

Gemcitabine can reduce the antibody response to inactivated influenza vaccine. Protection may be lower than in healthy people, although the vaccine remains safe and recommended in patients receiving chemotherapy.

What this interaction means in plain words

Gemcitabine and Influenza virus vaccine trivalent adjuvanted 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

Chemotherapy-induced myelosuppression and lymphopenia reduce the humoral immune response to vaccination.

What to do

Still vaccinate; where feasible give the vaccine between cycles when counts have recovered. Consider vaccinating close contacts and treating influenza exposure early.

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 Gemcitabine with Influenza virus vaccine trivalent adjuvanted?

MediHelp rates the interaction as moderate. Gemcitabine and Influenza virus vaccine trivalent adjuvanted 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. Gemcitabine can reduce the antibody response to inactivated influenza vaccine. Protection may be lower than in healthy people, although the vaccine remains safe and recommended in patients receiving chemotherapy.

How serious is the interaction between Gemcitabine and Influenza virus vaccine trivalent adjuvanted?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Still vaccinate; where feasible give the vaccine between cycles when counts have recovered. Consider vaccinating close contacts and treating influenza exposure early.

What other medicines interact with Gemcitabine?

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

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