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Drug interactions

Hepatitis A vaccine inactivated + Ocrelizumab

Severity: Moderate

Hepatitis A vaccine inactivated and Ocrelizumab: 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

Ocrelizumab depletes B cells and can blunt antibody responses to vaccines. An inactivated vaccine is safe but may give a weaker protective response.

What this interaction means in plain words

Hepatitis A vaccine inactivated and Ocrelizumab 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; Ocrelizumab belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

B-cell depletion by ocrelizumab reduces humoral response to vaccination.

What to do

Give the vaccine at least 2 to 4 weeks before starting ocrelizumab where possible, and consider checking antibody titres afterwards.

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 Ocrelizumab?

MediHelp rates the interaction as moderate. Hepatitis A vaccine inactivated and Ocrelizumab 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. Ocrelizumab depletes B cells and can blunt antibody responses to vaccines. An inactivated vaccine is safe but may give a weaker protective response.

How serious is the interaction between Hepatitis A vaccine inactivated and Ocrelizumab?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give the vaccine at least 2 to 4 weeks before starting ocrelizumab where possible, and consider checking antibody titres afterwards.

What other medicines interact with Ocrelizumab?

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

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