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Drug interactions

Temsirolimus + Zoster vaccine recombinant

Severity: Moderate

Temsirolimus and Zoster vaccine recombinant: 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

Immunosuppression from temsirolimus may blunt the immune response to the recombinant zoster vaccine. Because this vaccine is non-live, it is not a infection risk, but protection may be lower.

What this interaction means in plain words

Temsirolimus and Zoster vaccine recombinant 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

mTOR inhibition suppresses T-cell proliferation and so reduces vaccine immunogenicity.

What to do

Where feasible, vaccinate before starting temsirolimus or during a treatment break. Do not withhold vaccination if timing cannot be adjusted, as the non-live vaccine is safe.

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 Zoster vaccine recombinant?

MediHelp rates the interaction as moderate. Temsirolimus and Zoster vaccine recombinant 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. Immunosuppression from temsirolimus may blunt the immune response to the recombinant zoster vaccine. Because this vaccine is non-live, it is not a infection risk, but protection may be lower.

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

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 feasible, vaccinate before starting temsirolimus or during a treatment break. Do not withhold vaccination if timing cannot be adjusted, as the non-live vaccine is safe.

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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