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Interactions médicamenteuses

Dexamethasone + Yellow fever vaccine

Gravité: Contre-indiquée

Dexamethasone and Yellow fever vaccine: contraindicated interaction.

Dernière mise à jour

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Résumé

Yellow fever vaccine is a live attenuated virus vaccine. In patients on immunosuppressive doses of dexamethasone it may cause serious vaccine-associated disease, and immunity may be inadequate.

Ce que signifie cette interaction, en termes simples

Dexamethasone and Yellow fever 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

Glucocorticoid-induced immunosuppression impairs control of attenuated virus replication and blunts the immune response.

Conduite à tenir

Avoid vaccination during immunosuppressive corticosteroid therapy and for about 1 month after stopping. If travel to an endemic area cannot be avoided, seek a specialist assessment and consider a medical exemption letter.

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 Dexamethasone with Yellow fever vaccine?

MediHelp rates the interaction as contraindicated. Dexamethasone and Yellow fever 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. Yellow fever vaccine is a live attenuated virus vaccine. In patients on immunosuppressive doses of dexamethasone it may cause serious vaccine-associated disease, and immunity may be inadequate.

How serious is the interaction between Dexamethasone and Yellow fever 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: Avoid vaccination during immunosuppressive corticosteroid therapy and for about 1 month after stopping. If travel to an endemic area cannot be avoided, seek a specialist assessment and consider a medical exemption letter.

What other medicines interact with Dexamethasone?

MediHelp also lists interactions of Dexamethasone with, for example, Bcg vaccine live, Mifepristone, Rilpivirine. The full list is on the Dexamethasone 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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