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Interactions médicamenteuses

Dengue vaccine + Topotecan

Gravité: Majeure

Dengue vaccine and Topotecan: major interaction.

Dernière mise à jour

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Résumé

Topotecan-induced immunosuppression may blunt the response to dengue vaccine. Because the vaccine is live attenuated, replication in immunosuppressed patients is also a concern.

Ce que signifie cette interaction, en termes simples

Dengue vaccine and Topotecan can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Niveau de preuve: Moderate

Pourquoi elle survient

Cytotoxic myelosuppression impairs vaccine immune response and permits live-virus replication.

Conduite à tenir

Avoid live vaccines during chemotherapy and defer vaccination until immune recovery, per product labeling and local guidance.

Questions à poser à votre pharmacien

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Dengue vaccine with Topotecan?

MediHelp rates the interaction as major. Dengue vaccine and Topotecan can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Topotecan-induced immunosuppression may blunt the response to dengue vaccine. Because the vaccine is live attenuated, replication in immunosuppressed patients is also a concern.

How serious is the interaction between Dengue vaccine and Topotecan?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid live vaccines during chemotherapy and defer vaccination until immune recovery, per product labeling and local guidance.

What other medicines interact with Topotecan?

MediHelp also lists interactions of Topotecan with, for example, Adenovirus types 4 and 7 live, Amiodarone, Cisplatin. The full list is on the Topotecan page.

Monographies complètes, posologies et vérificateur d'interactions dans l'application MediHelp

Ouvrez le référentiel complet, vérifiez les interactions entre plusieurs médicaments et utilisez les outils de posologie dans l'application MediHelp.

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