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Drug interactions

Ustekinumab + Zoster vaccine recombinant

Severity: Minor

Ustekinumab and Zoster vaccine recombinant: 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

Ustekinumab may blunt the response to recombinant zoster vaccine, though it is non-live and safe to give. Protection may be reduced.

What this interaction means in plain words

Ustekinumab and Zoster vaccine recombinant 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

Immunomodulation through IL-12/23 inhibition may reduce vaccine immune response.

What to do

Vaccinate according to guidelines, ideally before starting ustekinumab, and complete both doses.

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?

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 Ustekinumab with Zoster vaccine recombinant?

MediHelp rates the interaction as minor. Ustekinumab and Zoster vaccine recombinant have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Ustekinumab may blunt the response to recombinant zoster vaccine, though it is non-live and safe to give. Protection may be reduced.

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

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Vaccinate according to guidelines, ideally before starting ustekinumab, and complete both doses.

What other medicines interact with Ustekinumab?

MediHelp also lists interactions of Ustekinumab with, for example, Bcg vaccine live, Typhoid vaccine live, Adalimumab. The full list is on the Ustekinumab page.

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

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