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Drug interactions

Tacrolimus + Tick-borne encephalitis vaccine

Severity: Moderate

Tacrolimus and Tick-borne encephalitis vaccine: 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

Tacrolimus may reduce the antibody response to the inactivated tick-borne encephalitis vaccine. There is no live-virus risk, but protection may be incomplete.

What this interaction means in plain words

Tacrolimus and Tick-borne encephalitis vaccine 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

Calcineurin inhibition impairs T-cell dependent vaccine responses.

What to do

Vaccinate if exposure risk exists, complete the series early, and check antibody titers if available. Advise tick-avoidance measures regardless.

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 Tacrolimus with Tick-borne encephalitis vaccine?

MediHelp rates the interaction as moderate. Tacrolimus and Tick-borne encephalitis vaccine 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. Tacrolimus may reduce the antibody response to the inactivated tick-borne encephalitis vaccine. There is no live-virus risk, but protection may be incomplete.

How serious is the interaction between Tacrolimus and Tick-borne encephalitis vaccine?

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 if exposure risk exists, complete the series early, and check antibody titers if available. Advise tick-avoidance measures regardless.

What other medicines interact with Tacrolimus?

MediHelp also lists interactions of Tacrolimus with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Cidofovir. The full list is on the Tacrolimus page.

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