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Interactions médicamenteuses

Certolizumab pegol + Measles mumps and rubella vaccine

Gravité: Contre-indiquée

Certolizumab pegol and Measles mumps and rubella vaccine: contraindicated interaction.

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Résumé

The live attenuated vaccine relies on a competent immune system to limit viral replication, and certolizumab pegol (a TNF-alpha antagonist) weakens that control. Disseminated vaccine-strain infection is possible and the antibody response to the vaccine may also be reduced.

Ce que signifie cette interaction, en termes simples

Certolizumab pegol and Measles mumps and rubella 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.

Certolizumab pegol belongs to Musculoskeletal; Measles mumps and rubella vaccine belongs to Miscellaneous.

Niveau de preuve: High

Pourquoi elle survient

Certolizumab pegol-mediated immunosuppression allows replication of a live attenuated virus

Conduite à tenir

Do not give live vaccines during treatment; where possible, vaccinate at least 4 weeks before starting the immunosuppressant, and delay after stopping until immune function has recovered.

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 Certolizumab pegol with Measles mumps and rubella vaccine?

MediHelp rates the interaction as contraindicated. Certolizumab pegol and Measles mumps and rubella 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. The live attenuated vaccine relies on a competent immune system to limit viral replication, and certolizumab pegol (a TNF-alpha antagonist) weakens that control. Disseminated vaccine-strain infection is possible and the antibody response to the vaccine may also be reduced.

How serious is the interaction between Certolizumab pegol and Measles mumps and rubella 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 vaccines during treatment; where possible, vaccinate at least 4 weeks before starting the immunosuppressant, and delay after stopping until immune function has recovered.

What other medicines interact with Measles mumps and rubella vaccine?

MediHelp also lists interactions of Measles mumps and rubella vaccine with, for example, Adalimumab, Anakinra, Antithymocyte globulin equine. The full list is on the Measles mumps and rubella vaccine page.

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