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Interactions médicamenteuses

Bcg vaccine live + Prednisolone

Gravité: Contre-indiquée

Bcg vaccine live and Prednisolone: contraindicated interaction.

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Résumé

BCG is a live attenuated mycobacterium that can cause disseminated BCG disease in immunosuppressed patients, and prednisolone may also reduce the response. This is a risk of serious infection.

Ce que signifie cette interaction, en termes simples

Bcg vaccine live and Prednisolone 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

Corticosteroid-induced suppression of cell-mediated immunity permits uncontrolled replication of live BCG and reduces vaccine response.

Conduite à tenir

Do not give BCG during immunosuppressive prednisolone therapy; defer until steroids have been stopped for an adequate interval, per local guidance. Assess alternative TB prevention strategies if indicated.

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 Bcg vaccine live with Prednisolone?

MediHelp rates the interaction as contraindicated. Bcg vaccine live and Prednisolone 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. BCG is a live attenuated mycobacterium that can cause disseminated BCG disease in immunosuppressed patients, and prednisolone may also reduce the response. This is a risk of serious infection.

How serious is the interaction between Bcg vaccine live and Prednisolone?

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 BCG during immunosuppressive prednisolone therapy; defer until steroids have been stopped for an adequate interval, per local guidance. Assess alternative TB prevention strategies if indicated.

What other medicines interact with Prednisolone?

MediHelp also lists interactions of Prednisolone with, for example, Measles mumps and rubella vaccine live, Measles mumps rubella and varicella vaccine live, Measles vaccine. The full list is on the Prednisolone page.

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