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Interactions médicamenteuses

Lomustine + Measles mumps and rubella vaccine live

Gravité: Contre-indiquée

Lomustine and Measles mumps and rubella vaccine live: contraindicated interaction.

Dernière mise à jour

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Résumé

The live MMR vaccine can cause disseminated vaccine-virus infection in patients immunosuppressed by lomustine, and the antibody response may be poor.

Ce que signifie cette interaction, en termes simples

Lomustine and Measles mumps and rubella 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: High

Pourquoi elle survient

Cytotoxic immunosuppression impairs control of live vaccine virus replication and reduces the immune response.

Conduite à tenir

Do not give during lomustine therapy; defer until immune recovery, generally at least 3 months after stopping. Check immunity serologically afterwards if needed.

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 Lomustine with Measles mumps and rubella vaccine live?

MediHelp rates the interaction as contraindicated. Lomustine and Measles mumps and rubella 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. The live MMR vaccine can cause disseminated vaccine-virus infection in patients immunosuppressed by lomustine, and the antibody response may be poor.

How serious is the interaction between Lomustine and Measles mumps and rubella 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: Do not give during lomustine therapy; defer until immune recovery, generally at least 3 months after stopping. Check immunity serologically afterwards if needed.

What other medicines interact with Lomustine?

MediHelp also lists interactions of Lomustine with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal. The full list is on the Lomustine page.

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