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Drug interactions

Ifosfamide + Pneumococcal vaccine 13-valent

Severity: Moderate

Ifosfamide and Pneumococcal vaccine 13-valent: 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-induced immunosuppression can reduce the antibody response to the conjugate pneumococcal vaccine. This leaves patients at greater risk of pneumococcal infection despite immunization.

What this interaction means in plain words

Ifosfamide and Pneumococcal vaccine 13-valent 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 belongs to Oncology; Pneumococcal vaccine 13-valent belongs to Miscellaneous.

Evidence level: Moderate

Why it happens

Cytotoxic suppression of B and T lymphocyte function reduces vaccine immunogenicity.

What to do

Give the vaccine at least 2 weeks before starting ifosfamide where feasible. If given during therapy, plan revaccination at least 3 months after chemotherapy is completed.

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 Pneumococcal vaccine 13-valent?

MediHelp rates the interaction as moderate. Ifosfamide and Pneumococcal vaccine 13-valent 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-induced immunosuppression can reduce the antibody response to the conjugate pneumococcal vaccine. This leaves patients at greater risk of pneumococcal infection despite immunization.

How serious is the interaction between Ifosfamide and Pneumococcal vaccine 13-valent?

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 weeks before starting ifosfamide where feasible. If given during therapy, plan revaccination at least 3 months after chemotherapy is completed.

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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