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Drug interactions

Meningococcal group b vaccine + Mycophenolate mofetil

Severity: Moderate

Meningococcal group b vaccine and Mycophenolate mofetil: 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

Mycophenolate may reduce antibody responses to the non-live meningococcal B vaccine. Immunosuppressed patients remain at risk of invasive disease, so reduced protection matters. The vaccine itself is safe to give.

What this interaction means in plain words

Meningococcal group b vaccine and Mycophenolate mofetil 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

Pharmacodynamic antagonism: suppressed lymphocyte proliferation reduces vaccine antibody response.

What to do

Vaccinate according to schedule, ideally before starting immunosuppression when feasible. Follow the immunocompromised dosing schedule and consider checking the response where indicated.

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 Meningococcal group b vaccine with Mycophenolate mofetil?

MediHelp rates the interaction as moderate. Meningococcal group b vaccine and Mycophenolate mofetil 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. Mycophenolate may reduce antibody responses to the non-live meningococcal B vaccine. Immunosuppressed patients remain at risk of invasive disease, so reduced protection matters. The vaccine itself is safe to give.

How serious is the interaction between Meningococcal group b vaccine and Mycophenolate mofetil?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Vaccinate according to schedule, ideally before starting immunosuppression when feasible. Follow the immunocompromised dosing schedule and consider checking the response where indicated.

What other medicines interact with Mycophenolate mofetil?

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

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