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Drug interactions

Oxaliplatin + Rubella vaccine

Severity: Contraindicated

Oxaliplatin and Rubella vaccine: 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

Rubella vaccine contains live attenuated virus. In patients immunosuppressed by oxaliplatin, the vaccine virus may cause disseminated infection and the antibody response may be poor.

What this interaction means in plain words

Oxaliplatin and Rubella vaccine 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: Moderate

Why it happens

Chemotherapy-induced immunosuppression impairs control of live vaccine organisms and reduces the immune response to the vaccine.

What to do

Avoid rubella vaccine during oxaliplatin treatment. Vaccinate at least 3 months after chemotherapy ends once immune recovery is confirmed, or earlier only if specialist guidance supports it.

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 Oxaliplatin with Rubella vaccine?

MediHelp rates the interaction as contraindicated. Oxaliplatin and Rubella vaccine 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. Rubella vaccine contains live attenuated virus. In patients immunosuppressed by oxaliplatin, the vaccine virus may cause disseminated infection and the antibody response may be poor.

How serious is the interaction between Oxaliplatin and Rubella vaccine?

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 rubella vaccine during oxaliplatin treatment. Vaccinate at least 3 months after chemotherapy ends once immune recovery is confirmed, or earlier only if specialist guidance supports it.

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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