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Drug interactions

Lomustine + Rabies vaccine chick embryo cell derived

Severity: Moderate

Lomustine and Rabies vaccine chick embryo cell derived: 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

Lomustine may weaken the antibody response to the chick embryo cell derived rabies vaccine. Reduced immunity could leave the patient inadequately protected after a rabies exposure.

What this interaction means in plain words

Lomustine and Rabies vaccine chick embryo cell derived 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: Moderate

Why it happens

Immunosuppression from lomustine impairs the humoral response to vaccination.

What to do

For post-exposure use, do not delay vaccination, and check neutralizing antibody titers afterward. For pre-exposure vaccination, give it at least 2 weeks before lomustine or revaccinate after immune recovery.

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 Lomustine with Rabies vaccine chick embryo cell derived?

MediHelp rates the interaction as moderate. Lomustine and Rabies vaccine chick embryo cell derived 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. Lomustine may weaken the antibody response to the chick embryo cell derived rabies vaccine. Reduced immunity could leave the patient inadequately protected after a rabies exposure.

How serious is the interaction between Lomustine and Rabies vaccine chick embryo cell derived?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: For post-exposure use, do not delay vaccination, and check neutralizing antibody titers afterward. For pre-exposure vaccination, give it at least 2 weeks before lomustine or revaccinate after immune recovery.

What other medicines interact with Lomustine?

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

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