Drug interactions
Measles mumps and rubella vaccine live + Upadacitinib
Severity: Contraindicated
Measles mumps and rubella vaccine live and Upadacitinib: 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
Upadacitinib suppresses immune function, so a live MMR vaccine may cause disseminated vaccine-virus infection. The vaccine response may also be reduced.
What this interaction means in plain words
Measles mumps and rubella vaccine live and Upadacitinib 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.
Why it happens
JAK inhibition impairs immune control of live attenuated virus replication.
What to do
Avoid live vaccines during upadacitinib therapy. Vaccinate at least several weeks before starting treatment when possible, and defer after discontinuation until immune recovery.
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 Upadacitinib
- Abrocitinib + Upadacitinib Contraindicated
- Adenovirus types 4 and 7 live + Upadacitinib Contraindicated
- Baricitinib + Upadacitinib Contraindicated
- Bcg vaccine live + Upadacitinib Contraindicated
- Cyclosporine + Upadacitinib Contraindicated
- Dengue vaccine + Upadacitinib Contraindicated
Frequently asked questions
Can I take Measles mumps and rubella vaccine live with Upadacitinib?
MediHelp rates the interaction as contraindicated. Measles mumps and rubella vaccine live and Upadacitinib 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. Upadacitinib suppresses immune function, so a live MMR vaccine may cause disseminated vaccine-virus infection. The vaccine response may also be reduced.
How serious is the interaction between Measles mumps and rubella vaccine live and Upadacitinib?
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 upadacitinib therapy. Vaccinate at least several weeks before starting treatment when possible, and defer after discontinuation until immune recovery.
What other medicines interact with Upadacitinib?
MediHelp also lists interactions of Upadacitinib with, for example, Abrocitinib, Adenovirus types 4 and 7 live, Baricitinib. The full list is on the Upadacitinib page.
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