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Drug interactions

Temsirolimus + Tick-borne encephalitis vaccine

Severity: Moderate

Temsirolimus 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

Temsirolimus is an mTOR inhibitor with immunosuppressive activity and may blunt the antibody response to inactivated vaccines such as tick-borne encephalitis vaccine. Protection may therefore be incomplete. The vaccine itself is not live, so there is no added infection risk from the vaccine.

What this interaction means in plain words

Temsirolimus 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: Moderate

Why it happens

mTOR inhibition suppresses T- and B-cell proliferation and so reduces the immune response to vaccination.

What to do

Where possible, vaccinate before starting temsirolimus or during a treatment break. If vaccinated on therapy, consider checking antibody titres and revaccinating if the response is inadequate.

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 Temsirolimus with Tick-borne encephalitis vaccine?

MediHelp rates the interaction as moderate. Temsirolimus 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. Temsirolimus is an mTOR inhibitor with immunosuppressive activity and may blunt the antibody response to inactivated vaccines such as tick-borne encephalitis vaccine. Protection may therefore be incomplete. The vaccine itself is not live, so there is no added infection risk from the vaccine.

How serious is the interaction between Temsirolimus 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: Where possible, vaccinate before starting temsirolimus or during a treatment break. If vaccinated on therapy, consider checking antibody titres and revaccinating if the response is inadequate.

What other medicines interact with Temsirolimus?

MediHelp also lists interactions of Temsirolimus with, for example, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal, Measles mumps and rubella vaccine live. The full list is on the Temsirolimus page.

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