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Drug interactions

Infliximab + Zoster vaccine recombinant

Severity: Minor

Infliximab and Zoster vaccine recombinant: minor 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

Infliximab may lessen the immune response to recombinant zoster vaccine, but the vaccine is non-live and considered safe in patients on TNF inhibitors.

What this interaction means in plain words

Infliximab and Zoster vaccine recombinant have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Moderate

Why it happens

TNF blockade reduces vaccine immunogenicity.

What to do

Give the two-dose series per guidelines without interrupting infliximab.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Zoster vaccine recombinant?

MediHelp rates the interaction as minor. Infliximab and Zoster vaccine recombinant have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Infliximab may lessen the immune response to recombinant zoster vaccine, but the vaccine is non-live and considered safe in patients on TNF inhibitors.

How serious is the interaction between Infliximab and Zoster vaccine recombinant?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give the two-dose series per guidelines without interrupting infliximab.

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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