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Drug interactions

Typhoid vaccine live + Vancomycin

Severity: Minor

Typhoid vaccine live and Vancomycin: 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

Vancomycin has no activity against gram-negative bacteria such as Salmonella Typhi, so it is not expected to impair the live oral typhoid vaccine. Oral vancomycin remains in the gut but does not act on this organism.

What this interaction means in plain words

Typhoid vaccine live and Vancomycin 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

No established mechanism; vancomycin lacks gram-negative activity.

What to do

No delay or change is needed; vaccinate according to the schedule.

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?

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Frequently asked questions

Can I take Typhoid vaccine live with Vancomycin?

MediHelp rates the interaction as minor. Typhoid vaccine live and Vancomycin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Vancomycin has no activity against gram-negative bacteria such as Salmonella Typhi, so it is not expected to impair the live oral typhoid vaccine. Oral vancomycin remains in the gut but does not act on this organism.

How serious is the interaction between Typhoid vaccine live and Vancomycin?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No delay or change is needed; vaccinate according to the schedule.

What other medicines interact with Vancomycin?

MediHelp also lists interactions of Vancomycin with, for example, Amikacin, Bacitracin, Capreomycin. The full list is on the Vancomycin page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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