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Drug interactions

Hepatitis A vaccine inactivated + Ifosfamide

Severity: Moderate

Hepatitis A vaccine inactivated 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

Ifosfamide causes myelosuppression and immune suppression, which can blunt the antibody response to inactivated hepatitis A vaccine. The patient may remain unprotected despite vaccination.

What this interaction means in plain words

Hepatitis A vaccine inactivated 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.

Hepatitis A vaccine inactivated belongs to Anti Virals; Ifosfamide belongs to Oncology.

Evidence level: Moderate

Why it happens

Cytotoxic suppression of lymphocytes and immune response reduces vaccine immunogenicity.

What to do

Where possible, vaccinate at least 2 weeks before starting chemotherapy. If given during or shortly before treatment, consider revaccination at least 3 months after chemotherapy ends, and check serology if protection matters.

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 Hepatitis A vaccine inactivated with Ifosfamide?

MediHelp rates the interaction as moderate. Hepatitis A vaccine inactivated 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. Ifosfamide causes myelosuppression and immune suppression, which can blunt the antibody response to inactivated hepatitis A vaccine. The patient may remain unprotected despite vaccination.

How serious is the interaction between Hepatitis A vaccine inactivated 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: Where possible, vaccinate at least 2 weeks before starting chemotherapy. If given during or shortly before treatment, consider revaccination at least 3 months after chemotherapy ends, and check serology if protection matters.

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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