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Drug interactions

Human papillomavirus vaccine + Lomustine

Severity: Moderate

Human papillomavirus vaccine and Lomustine: 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

Lomustine causes myelosuppression and immunosuppression, which can weaken the response to HPV vaccine. Vaccination during treatment may give inadequate protection.

What this interaction means in plain words

Human papillomavirus vaccine and Lomustine 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.

Human papillomavirus vaccine belongs to Miscellaneous; Lomustine belongs to Oncology.

Evidence level: Moderate

Why it happens

Cytotoxic alkylating therapy suppresses lymphocyte populations needed for vaccine response.

What to do

Vaccinate before chemotherapy where possible; repeat doses given during treatment after immune recovery.

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 Human papillomavirus vaccine with Lomustine?

MediHelp rates the interaction as moderate. Human papillomavirus vaccine and Lomustine 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. Lomustine causes myelosuppression and immunosuppression, which can weaken the response to HPV vaccine. Vaccination during treatment may give inadequate protection.

How serious is the interaction between Human papillomavirus vaccine and Lomustine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Vaccinate before chemotherapy where possible; repeat doses given during treatment after immune recovery.

What other medicines interact with Human papillomavirus vaccine?

MediHelp also lists interactions of Human papillomavirus vaccine with, for example, Antithymocyte globulin equine, Antithymocyte globulin rabbit, Atidarsagene autotemcel. The full list is on the Human papillomavirus vaccine page.

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

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