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Drug interactions

Haemophilus influenzae type b vaccine + Infliximab

Severity: Minor

Haemophilus influenzae type b vaccine and Infliximab: minor 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

Infliximab may reduce the immune response to the inactivated Hib vaccine. Protection may therefore be lower than expected, but the vaccine is safe to administer.

What this interaction means in plain words

Haemophilus influenzae type b vaccine and Infliximab have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

TNF-alpha inhibition blunts humoral response to vaccine antigens.

What to do

Vaccinate at least 2 weeks before starting infliximab where feasible. If given during therapy, consider whether revaccination is needed.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Infliximab?

MediHelp rates the interaction as minor. Haemophilus influenzae type b vaccine and Infliximab have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Infliximab may reduce the immune response to the inactivated Hib vaccine. Protection may therefore be lower than expected, but the vaccine is safe to administer.

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

MediHelp rates it minor, 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 starting infliximab where feasible. If given during therapy, consider whether revaccination is needed.

What other medicines interact with Infliximab?

MediHelp also lists interactions of Infliximab with, for example, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal, Measles mumps and rubella vaccine. The full list is on the Infliximab page.

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