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Interactions médicamenteuses

Anti-thymocyte + Measles vaccine

Gravité: Contre-indiquée

Anti-thymocyte and Measles vaccine: contraindicated interaction.

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Résumé

Measles vaccine is a live attenuated vaccine, and in a patient profoundly immunosuppressed by anti-thymocyte globulin the vaccine virus may replicate unchecked and cause disseminated disease. The vaccine response will also be poor.

Ce que signifie cette interaction, en termes simples

Anti-thymocyte and Measles 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.

Niveau de preuve: High

Pourquoi elle survient

Impaired cell-mediated immunity permits uncontrolled replication of live attenuated virus.

Conduite à tenir

Do not give live measles vaccine during and for an extended period after anti-thymocyte globulin until immune recovery is confirmed. Give it at least 4 weeks before starting therapy if vaccination is needed.

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 Anti-thymocyte with Measles vaccine?

MediHelp rates the interaction as contraindicated. Anti-thymocyte and Measles 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. Measles vaccine is a live attenuated vaccine, and in a patient profoundly immunosuppressed by anti-thymocyte globulin the vaccine virus may replicate unchecked and cause disseminated disease. The vaccine response will also be poor.

How serious is the interaction between Anti-thymocyte and Measles 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: Do not give live measles vaccine during and for an extended period after anti-thymocyte globulin until immune recovery is confirmed. Give it at least 4 weeks before starting therapy if vaccination is needed.

What other medicines interact with Anti-thymocyte?

MediHelp also lists interactions of Anti-thymocyte with, for example, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal, Measles mumps and rubella vaccine live. The full list is on the Anti-thymocyte page.

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