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Drug interactions

Golimumab + Yellow fever vaccine

Severity: Contraindicated

Golimumab and Yellow fever vaccine: 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

Yellow fever vaccine is live attenuated and can cause serious vaccine-associated neurotropic or viscerotropic disease in immunosuppressed patients such as those on golimumab.

What this interaction means in plain words

Golimumab and Yellow fever vaccine 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.

Evidence level: Moderate

Why it happens

TNF-alpha blockade impairs immune control of replicating live attenuated virus.

What to do

Avoid the vaccine during golimumab therapy; advise against travel to endemic areas or provide a medical exemption letter when appropriate.

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?

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 Golimumab with Yellow fever vaccine?

MediHelp rates the interaction as contraindicated. Golimumab and Yellow fever vaccine 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. Yellow fever vaccine is live attenuated and can cause serious vaccine-associated neurotropic or viscerotropic disease in immunosuppressed patients such as those on golimumab.

How serious is the interaction between Golimumab and Yellow fever vaccine?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the vaccine during golimumab therapy; advise against travel to endemic areas or provide a medical exemption letter when appropriate.

What other medicines interact with Golimumab?

MediHelp also lists interactions of Golimumab with, for example, Bcg vaccine live, Etanercept, Influenza virus vaccine quadrivalent intranasal. The full list is on the Golimumab page.

Full monographs, dosing and an interaction checker in the MediHelp app

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