Drug interactions
Upadacitinib + Yellow fever vaccine
Severity: Contraindicated
Upadacitinib and Yellow fever vaccine: contraindicated 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
Upadacitinib impairs immunity, so live yellow fever vaccine may cause serious vaccine-associated disease, and protection may be inadequate.
What this interaction means in plain words
Upadacitinib and Yellow fever vaccine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Why it happens
JAK inhibition impairs immune control of live attenuated virus replication.
What to do
Avoid the vaccine during upadacitinib therapy. If travel to an endemic area is unavoidable, seek specialist advice and consider a medical exemption letter.
What to ask your pharmacist
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
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Other interactions of Upadacitinib
- Abrocitinib + Upadacitinib Contraindicated
- Adenovirus types 4 and 7 live + Upadacitinib Contraindicated
- Baricitinib + Upadacitinib Contraindicated
- Bcg vaccine live + Upadacitinib Contraindicated
- Cyclosporine + Upadacitinib Contraindicated
- Dengue vaccine + Upadacitinib Contraindicated
Frequently asked questions
Can I take Upadacitinib with Yellow fever vaccine?
MediHelp rates the interaction as contraindicated. Upadacitinib and Yellow fever vaccine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Upadacitinib impairs immunity, so live yellow fever vaccine may cause serious vaccine-associated disease, and protection may be inadequate.
How serious is the interaction between Upadacitinib and Yellow fever vaccine?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the vaccine during upadacitinib therapy. If travel to an endemic area is unavoidable, seek specialist advice and consider a medical exemption letter.
What other medicines interact with Upadacitinib?
MediHelp also lists interactions of Upadacitinib with, for example, Abrocitinib, Adenovirus types 4 and 7 live, Baricitinib. The full list is on the Upadacitinib page.
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