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Drug interactions

Ifosfamide + Influenza a vaccine

Severity: Moderate

Ifosfamide and Influenza a vaccine: 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 is myelosuppressive and immunosuppressive and may blunt the antibody response to H5N1 influenza vaccine. Patients may therefore be incompletely protected after vaccination.

What this interaction means in plain words

Ifosfamide and Influenza a vaccine 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

Cytotoxic immunosuppression reduces the immune response to vaccination.

What to do

Where possible, vaccinate at least 2 weeks before starting chemotherapy; otherwise vaccinate when counts recover and do not rely on the response alone for protection.

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 Ifosfamide with Influenza a vaccine?

MediHelp rates the interaction as moderate. Ifosfamide and Influenza a vaccine 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 is myelosuppressive and immunosuppressive and may blunt the antibody response to H5N1 influenza vaccine. Patients may therefore be incompletely protected after vaccination.

How serious is the interaction between Ifosfamide and Influenza a vaccine?

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; otherwise vaccinate when counts recover and do not rely on the response alone for protection.

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.

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