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Drug interactions

Infliximab + Measles mumps and rubella vaccine live

Severity: Contraindicated

Infliximab and Measles mumps and rubella vaccine live: contraindicated 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

MMR contains live attenuated viruses that could cause disseminated vaccine-strain infection in a patient immunosuppressed by infliximab. Vaccine immunogenicity may also be reduced.

What this interaction means in plain words

Infliximab and Measles mumps and rubella vaccine live are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Evidence level: Moderate

Why it happens

TNF inhibition impairs immune control of live attenuated virus replication.

What to do

Do not give during infliximab therapy; wait several months after the last dose per local guidance. Give needed live vaccines at least 4 weeks before starting therapy.

What to ask your pharmacist

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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 Infliximab with Measles mumps and rubella vaccine live?

MediHelp rates the interaction as contraindicated. Infliximab and Measles mumps and rubella vaccine live are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. MMR contains live attenuated viruses that could cause disseminated vaccine-strain infection in a patient immunosuppressed by infliximab. Vaccine immunogenicity may also be reduced.

How serious is the interaction between Infliximab and Measles mumps and rubella vaccine live?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not give during infliximab therapy; wait several months after the last dose per local guidance. Give needed live vaccines at least 4 weeks before starting therapy.

What other medicines interact with Infliximab?

MediHelp also lists interactions of Infliximab with, for example, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal, Measles mumps and rubella vaccine. The full list is on the Infliximab page.

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