Drug interactions
Measles mumps and rubella vaccine + Melphalan
Severity: Contraindicated
Measles mumps and rubella vaccine and Melphalan: 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
Melphalan causes marked myelosuppression and immunosuppression, so live attenuated vaccine viruses may replicate unchecked and cause disseminated infection. Vaccine efficacy is also reduced.
What this interaction means in plain words
Measles mumps and rubella vaccine and Melphalan 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.
Measles mumps and rubella vaccine belongs to Miscellaneous; Melphalan belongs to Oncology.
Why it happens
Cytotoxic immunosuppression permits uncontrolled replication of live attenuated virus.
What to do
Avoid live vaccines during melphalan therapy; give them only after immune recovery, usually at least 3 months after stopping.
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?
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Other interactions of Measles mumps and rubella vaccine
- Adalimumab + Measles mumps and rubella vaccine Contraindicated
- Anakinra + Measles mumps and rubella vaccine Contraindicated
- Antithymocyte globulin equine + Measles mumps and rubella vaccine Contraindicated
- Antithymocyte globulin rabbit + Measles mumps and rubella vaccine Contraindicated
- Azathioprine + Measles mumps and rubella vaccine Contraindicated
- Basiliximab + Measles mumps and rubella vaccine Contraindicated
Other interactions of Melphalan
- Adenovirus types 4 and 7 live + Melphalan Contraindicated
- Bcg vaccine live + Melphalan Contraindicated
- Influenza virus vaccine quadrivalent intranasal + Melphalan Contraindicated
- Measles mumps and rubella vaccine live + Melphalan Contraindicated
- Measles mumps rubella and varicella vaccine live + Melphalan Contraindicated
- Measles vaccine + Melphalan Contraindicated
Frequently asked questions
Can I take Measles mumps and rubella vaccine with Melphalan?
MediHelp rates the interaction as contraindicated. Measles mumps and rubella vaccine and Melphalan 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. Melphalan causes marked myelosuppression and immunosuppression, so live attenuated vaccine viruses may replicate unchecked and cause disseminated infection. Vaccine efficacy is also reduced.
How serious is the interaction between Measles mumps and rubella vaccine and Melphalan?
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 live vaccines during melphalan therapy; give them only after immune recovery, usually at least 3 months after stopping.
What other medicines interact with Measles mumps and rubella vaccine?
MediHelp also lists interactions of Measles mumps and rubella vaccine with, for example, Adalimumab, Anakinra, Antithymocyte globulin equine. The full list is on the Measles mumps and rubella vaccine page.
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