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Drug interactions

Haemophilus influenzae type b vaccine + Ifosfamide

Severity: Moderate

Haemophilus influenzae type b vaccine and Ifosfamide: 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

Myelosuppressive chemotherapy with ifosfamide may blunt antibody responses to Hib conjugate vaccine. Vaccine protection could be suboptimal.

What this interaction means in plain words

Haemophilus influenzae type b vaccine and Ifosfamide 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

Cytotoxic immunosuppression impairs the immune response to vaccination.

What to do

Vaccinate at least 2 weeks before chemotherapy if possible. Revaccinate about 3 months after chemotherapy once immune function recovers.

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 Haemophilus influenzae type b vaccine with Ifosfamide?

MediHelp rates the interaction as moderate. Haemophilus influenzae type b vaccine and Ifosfamide 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. Myelosuppressive chemotherapy with ifosfamide may blunt antibody responses to Hib conjugate vaccine. Vaccine protection could be suboptimal.

How serious is the interaction between Haemophilus influenzae type b vaccine and Ifosfamide?

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 at least 2 weeks before chemotherapy if possible. Revaccinate about 3 months after chemotherapy once immune function recovers.

What other medicines interact with Ifosfamide?

MediHelp also lists interactions of Ifosfamide with, for example, Adenovirus types 4 and 7 live, Measles mumps and rubella vaccine, Measles mumps and rubella vaccine live. The full list is on the Ifosfamide page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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