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Drug interactions

Leflunomide + Measles mumps and rubella vaccine live

Severity: Contraindicated

Leflunomide 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

This live attenuated vaccine may cause disseminated infection in a patient immunosuppressed by leflunomide. The immune response may also be inadequate.

What this interaction means in plain words

Leflunomide 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

Impaired lymphocyte function reduces control of live attenuated virus replication.

What to do

Avoid during leflunomide therapy and until washout is confirmed; give before treatment starts.

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 Leflunomide with Measles mumps and rubella vaccine live?

MediHelp rates the interaction as contraindicated. Leflunomide 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. This live attenuated vaccine may cause disseminated infection in a patient immunosuppressed by leflunomide. The immune response may also be inadequate.

How serious is the interaction between Leflunomide 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: Avoid during leflunomide therapy and until washout is confirmed; give before treatment starts.

What other medicines interact with Leflunomide?

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

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