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Drug interactions

Meningococcal group b vaccine + Paclitaxel

Severity: Moderate

Meningococcal group b vaccine and Paclitaxel: 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

Chemotherapy-induced immunosuppression can blunt the antibody response to the meningococcal B vaccine. Patients may therefore be incompletely protected. The vaccine is non-live and is not unsafe in this setting.

What this interaction means in plain words

Meningococcal group b vaccine and Paclitaxel 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

Myelosuppressive and immunosuppressive effects of paclitaxel impair vaccine immune response.

What to do

Where possible vaccinate at least two weeks before chemotherapy or between cycles when counts recover; do not rely on the response in neutropenic patients.

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 Paclitaxel?

MediHelp rates the interaction as moderate. Meningococcal group b vaccine and Paclitaxel 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. Chemotherapy-induced immunosuppression can blunt the antibody response to the meningococcal B vaccine. Patients may therefore be incompletely protected. The vaccine is non-live and is not unsafe in this setting.

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

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Where possible vaccinate at least two weeks before chemotherapy or between cycles when counts recover; do not rely on the response in neutropenic patients.

What other medicines interact with Paclitaxel?

MediHelp also lists interactions of Paclitaxel with, for example, Adenovirus types 4 and 7 live, Cobicistat, Cyclosporine. The full list is on the Paclitaxel page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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