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Drug interactions

Japanese encephalitis virus vaccine + Sirolimus

Severity: Moderate

Japanese encephalitis virus vaccine and Sirolimus: 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

Sirolimus may reduce the response to Japanese encephalitis vaccine, which is inactivated in current products. Protection may be incomplete in travelers on immunosuppression.

What this interaction means in plain words

Japanese encephalitis virus vaccine and Sirolimus 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: Low

Why it happens

Sirolimus immunosuppression impairs vaccine-induced antibody production.

What to do

Complete the vaccine series well before travel and consider checking neutralizing antibody; reinforce mosquito-avoidance measures.

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 Japanese encephalitis virus vaccine with Sirolimus?

MediHelp rates the interaction as moderate. Japanese encephalitis virus vaccine and Sirolimus 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. Sirolimus may reduce the response to Japanese encephalitis vaccine, which is inactivated in current products. Protection may be incomplete in travelers on immunosuppression.

How serious is the interaction between Japanese encephalitis virus vaccine and Sirolimus?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Complete the vaccine series well before travel and consider checking neutralizing antibody; reinforce mosquito-avoidance measures.

What other medicines interact with Sirolimus?

MediHelp also lists interactions of Sirolimus with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal. The full list is on the Sirolimus page.

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