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Drug interactions

Oxaliplatin + Zoster vaccine recombinant

Severity: Minor

Oxaliplatin and Zoster vaccine recombinant: minor 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 may blunt the response to recombinant zoster vaccine, although the vaccine is non-live and generally immunogenic in immunocompromised patients. A lower response may reduce protection against shingles.

What this interaction means in plain words

Oxaliplatin and Zoster vaccine recombinant have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Cytotoxic myelosuppression and lymphopenia blunt the immune response to vaccine antigens.

What to do

Vaccinate before chemotherapy if possible, but the recombinant vaccine may be given during or after treatment; complete the two-dose series.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Zoster vaccine recombinant?

MediHelp rates the interaction as minor. Oxaliplatin and Zoster vaccine recombinant have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Chemotherapy may blunt the response to recombinant zoster vaccine, although the vaccine is non-live and generally immunogenic in immunocompromised patients. A lower response may reduce protection against shingles.

How serious is the interaction between Oxaliplatin and Zoster vaccine recombinant?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Vaccinate before chemotherapy if possible, but the recombinant vaccine may be given during or after treatment; complete the two-dose series.

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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