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Interactions médicamenteuses

Methylprednisolone + Smallpox vaccine live

Gravité: Contre-indiquée

Methylprednisolone and Smallpox vaccine live: contraindicated interaction.

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Résumé

Live vaccinia vaccine can cause progressive vaccinia and generalized infection in immunosuppressed patients, including those on corticosteroids. The vaccine response may also be reduced.

Ce que signifie cette interaction, en termes simples

Methylprednisolone and Smallpox 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

Corticosteroid-induced immunosuppression allows uncontrolled replication of live vaccinia virus.

Conduite à tenir

Avoid live smallpox vaccine in patients on immunosuppressive steroids outside an emergency. If exposure risk is high, use a non-replicating vaccine where available and obtain specialist advice.

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 Methylprednisolone with Smallpox vaccine live?

MediHelp rates the interaction as contraindicated. Methylprednisolone and Smallpox 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 vaccinia vaccine can cause progressive vaccinia and generalized infection in immunosuppressed patients, including those on corticosteroids. The vaccine response may also be reduced.

How serious is the interaction between Methylprednisolone and Smallpox 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: Avoid live smallpox vaccine in patients on immunosuppressive steroids outside an emergency. If exposure risk is high, use a non-replicating vaccine where available and obtain specialist advice.

What other medicines interact with Methylprednisolone?

MediHelp also lists interactions of Methylprednisolone with, for example, Bcg vaccine live, Measles mumps and rubella vaccine live, Measles mumps rubella and varicella vaccine live. The full list is on the Methylprednisolone page.

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