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Drug interactions

Oxacillin + Typhoid vaccine live

Severity: Moderate

Oxacillin and Typhoid vaccine live: 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

Oral live typhoid vaccine contains viable Salmonella Typhi that must colonize the gut to induce immunity. Antibacterials may reduce its viability and weaken the immune response, though oxacillin has little activity against Gram-negative bacilli.

What this interaction means in plain words

Oxacillin and Typhoid vaccine live 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: Low

Why it happens

Antibacterial activity may reduce survival of the live attenuated Salmonella vaccine strain.

What to do

Delay the live typhoid vaccine until the antibiotic course has finished, or use the inactivated injectable vaccine if vaccination cannot wait.

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?

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Frequently asked questions

Can I take Oxacillin with Typhoid vaccine live?

MediHelp rates the interaction as moderate. Oxacillin and Typhoid vaccine live 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. Oral live typhoid vaccine contains viable Salmonella Typhi that must colonize the gut to induce immunity. Antibacterials may reduce its viability and weaken the immune response, though oxacillin has little activity against Gram-negative bacilli.

How serious is the interaction between Oxacillin and Typhoid vaccine live?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Delay the live typhoid vaccine until the antibiotic course has finished, or use the inactivated injectable vaccine if vaccination cannot wait.

What other medicines interact with Oxacillin?

MediHelp also lists interactions of Oxacillin with, for example, Bcg vaccine live, Chloramphenicol, Cholera vaccine. The full list is on the Oxacillin page.

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