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Drug interactions

Measles mumps rubella and varicella vaccine live + Oxaliplatin

Severity: Contraindicated

Measles mumps rubella and varicella vaccine live and Oxaliplatin: 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

Combined live MMRV vaccine may cause disseminated vaccine-strain infection in patients immunosuppressed by oxaliplatin, and immunogenicity is reduced.

What this interaction means in plain words

Measles mumps rubella and varicella vaccine live and Oxaliplatin 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: High

Why it happens

Cytotoxic immunosuppression impairs control of live vaccine virus replication and reduces the immune response.

What to do

Avoid during oxaliplatin therapy and until immune recovery, generally at least 3 months after stopping. Revaccinate once immunity has recovered.

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 Measles mumps rubella and varicella vaccine live with Oxaliplatin?

MediHelp rates the interaction as contraindicated. Measles mumps rubella and varicella vaccine live and Oxaliplatin 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. Combined live MMRV vaccine may cause disseminated vaccine-strain infection in patients immunosuppressed by oxaliplatin, and immunogenicity is reduced.

How serious is the interaction between Measles mumps rubella and varicella vaccine live and Oxaliplatin?

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 oxaliplatin therapy and until immune recovery, generally at least 3 months after stopping. Revaccinate once immunity has recovered.

What other medicines interact with Oxaliplatin?

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

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