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Interactions médicamenteuses

Cyclosporin + Dengue vaccine

Gravité: Contre-indiquée

Cyclosporin and Dengue vaccine: contraindicated interaction.

Dernière mise à jour

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Résumé

The dengue vaccine is a live attenuated vaccine, so in a patient on cyclosporin the vaccine virus may replicate excessively and cause disease. The immune response may also be inadequate.

Ce que signifie cette interaction, en termes simples

Cyclosporin and Dengue 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: Moderate

Pourquoi elle survient

Impaired cell-mediated immunity from calcineurin inhibition allows uncontrolled replication of the live vaccine virus and weakens the response.

Conduite à tenir

Do not administer the dengue vaccine during cyclosporin therapy. Consider vaccination only after immunosuppression has been stopped for an adequate interval, in consultation with a specialist.

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 Cyclosporin with Dengue vaccine?

MediHelp rates the interaction as contraindicated. Cyclosporin and Dengue 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 dengue vaccine is a live attenuated vaccine, so in a patient on cyclosporin the vaccine virus may replicate excessively and cause disease. The immune response may also be inadequate.

How serious is the interaction between Cyclosporin and Dengue 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 administer the dengue vaccine during cyclosporin therapy. Consider vaccination only after immunosuppression has been stopped for an adequate interval, in consultation with a specialist.

What other medicines interact with Cyclosporin?

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

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