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Drug interactions

Hepatitis A vaccine inactivated + Ofatumumab sc

Severity: Moderate

Hepatitis A vaccine inactivated and Ofatumumab sc: 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

Ofatumumab depletes B cells, which can reduce antibody responses to inactivated vaccines such as hepatitis A. Inactivated vaccines pose no infection risk, but protection may be inadequate.

What this interaction means in plain words

Hepatitis A vaccine inactivated and Ofatumumab sc 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

Pharmacodynamic: anti-CD20 mediated B-cell depletion reduces vaccine antibody production.

What to do

Give inactivated vaccines at least 2 weeks before starting ofatumumab where possible. If vaccinated during therapy, consider checking antibody titers.

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 Ofatumumab sc?

MediHelp rates the interaction as moderate. Hepatitis A vaccine inactivated and Ofatumumab sc 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. Ofatumumab depletes B cells, which can reduce antibody responses to inactivated vaccines such as hepatitis A. Inactivated vaccines pose no infection risk, but protection may be inadequate.

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

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 inactivated vaccines at least 2 weeks before starting ofatumumab where possible. If vaccinated during therapy, consider checking antibody titers.

What other medicines interact with Hepatitis A vaccine inactivated?

MediHelp also lists interactions of Hepatitis A vaccine inactivated with, for example, Adalimumab, Alefacept, Anakinra. The full list is on the Hepatitis A vaccine inactivated page.

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