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Interactions médicamenteuses

Certolizumab pegol + Typhoid vaccine live

Gravité: Contre-indiquée

Certolizumab pegol and Typhoid vaccine live: contraindicated interaction.

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Résumé

Live oral typhoid vaccine contains attenuated Salmonella Typhi. TNF blockade with certolizumab could allow vaccine-strain infection and reduce vaccine response.

Ce que signifie cette interaction, en termes simples

Certolizumab pegol and Typhoid vaccine live 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: Low

Pourquoi elle survient

TNF inhibition impairs host defence against replicating live bacteria.

Conduite à tenir

Use the inactivated Vi polysaccharide typhoid vaccine instead during certolizumab therapy.

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 Typhoid vaccine live?

MediHelp rates the interaction as contraindicated. Certolizumab pegol and Typhoid vaccine live 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. Live oral typhoid vaccine contains attenuated Salmonella Typhi. TNF blockade with certolizumab could allow vaccine-strain infection and reduce vaccine response.

How serious is the interaction between Certolizumab pegol and Typhoid vaccine live?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the inactivated Vi polysaccharide typhoid vaccine instead during certolizumab therapy.

What other medicines interact with Certolizumab pegol?

MediHelp also lists interactions of Certolizumab pegol with, for example, Adenovirus types 4 and 7 live, Bcg intravesical live, Bcg vaccine live. The full list is on the Certolizumab pegol page.

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