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Drug interactions

Meningococcal group b vaccine + Thioguanine

Severity: Moderate

Meningococcal group b vaccine and Thioguanine: 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

Meningococcal group B vaccine is non-live, but thioguanine-related immunosuppression may reduce the antibody response. Protection may be incomplete.

What this interaction means in plain words

Meningococcal group b vaccine and Thioguanine 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

Cytotoxic-induced suppression of lymphocytes reduces vaccine immunogenicity.

What to do

Vaccinate before chemotherapy or after recovery of immune function where possible; if given during treatment, consider checking the response or revaccinating later.

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 Thioguanine?

MediHelp rates the interaction as moderate. Meningococcal group b vaccine and Thioguanine 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. Meningococcal group B vaccine is non-live, but thioguanine-related immunosuppression may reduce the antibody response. Protection may be incomplete.

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

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 before chemotherapy or after recovery of immune function where possible; if given during treatment, consider checking the response or revaccinating later.

What other medicines interact with Thioguanine?

MediHelp also lists interactions of Thioguanine with, for example, Adenovirus types 4 and 7 live, Axicabtagene ciloleucel, Belatacept. The full list is on the Thioguanine page.

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