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Drug interactions

Hepatitis A vaccine inactivated + Teplizumab

Severity: Moderate

Hepatitis A vaccine inactivated and Teplizumab: 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

Teplizumab causes transient lymphocyte depletion and immune modulation that may reduce the response to inactivated vaccines. There is no infection risk from the vaccine itself, but protection may be inadequate.

What this interaction means in plain words

Hepatitis A vaccine inactivated and Teplizumab 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; Teplizumab belongs to Miscellaneous.

Evidence level: Low

Why it happens

Pharmacodynamic: anti-CD3 mediated immune modulation blunts vaccine antibody responses.

What to do

Give age-appropriate vaccines before starting teplizumab. Avoid inactivated vaccines within 2 weeks before, during, and for 6 weeks after treatment, and consider checking antibody titers if vaccinated outside this window.

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 Teplizumab?

MediHelp rates the interaction as moderate. Hepatitis A vaccine inactivated and Teplizumab 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. Teplizumab causes transient lymphocyte depletion and immune modulation that may reduce the response to inactivated vaccines. There is no infection risk from the vaccine itself, but protection may be inadequate.

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

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 age-appropriate vaccines before starting teplizumab. Avoid inactivated vaccines within 2 weeks before, during, and for 6 weeks after treatment, and consider checking antibody titers if vaccinated outside this window.

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.

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

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