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Interactions médicamenteuses

Adenovirus types 4 and 7 live + Fludarabine

Gravité: Contre-indiquée

Adenovirus types 4 and 7 live and Fludarabine: contraindicated interaction.

Dernière mise à jour

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Résumé

Fludarabine causes profound and prolonged lymphopenia. A live oral adenovirus vaccine could replicate unchecked and cause disseminated vaccine-strain infection, and the vaccine response would also be poor.

Ce que signifie cette interaction, en termes simples

Adenovirus types 4 and 7 live and Fludarabine 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.

Niveau de preuve: Moderate

Pourquoi elle survient

Fludarabine-induced immunosuppression impairs control of live attenuated virus replication and reduces vaccine immunogenicity.

Conduite à tenir

Do not give this live vaccine during fludarabine therapy. Defer vaccination until immune recovery is confirmed, usually at least 3 months after therapy ends.

Questions à poser à votre pharmacien

  • 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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Questions fréquentes

Can I take Adenovirus types 4 and 7 live with Fludarabine?

MediHelp rates the interaction as contraindicated. Adenovirus types 4 and 7 live and Fludarabine 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. Fludarabine causes profound and prolonged lymphopenia. A live oral adenovirus vaccine could replicate unchecked and cause disseminated vaccine-strain infection, and the vaccine response would also be poor.

How serious is the interaction between Adenovirus types 4 and 7 live and Fludarabine?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not give this live vaccine during fludarabine therapy. Defer vaccination until immune recovery is confirmed, usually at least 3 months after therapy ends.

What other medicines interact with Fludarabine?

MediHelp also lists interactions of Fludarabine with, for example, Pentostatin, Belatacept, Dengue vaccine. The full list is on the Fludarabine page.

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