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Interactions médicamenteuses

Tigecycline + Typhoid vaccine live

Gravité: Majeure

Tigecycline and Typhoid vaccine live: major interaction.

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Résumé

Oral live attenuated typhoid vaccine (Ty21a) contains viable bacteria that antibiotics can inactivate, reducing the immune response. Tigecycline is active against Salmonella, so vaccine failure is possible, though the intravenous-only use of tigecycline makes concurrent use uncommon.

Ce que signifie cette interaction, en termes simples

Tigecycline and Typhoid vaccine live 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: Low

Pourquoi elle survient

Antibacterial activity kills or inhibits the live attenuated Salmonella strain, reducing colonisation and immunogenicity.

Conduite à tenir

Delay oral typhoid vaccination until the antibiotic course is complete, or use the inactivated injectable vaccine if immunisation cannot wait.

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 Tigecycline with Typhoid vaccine live?

MediHelp rates the interaction as major. Tigecycline and Typhoid vaccine live 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. Oral live attenuated typhoid vaccine (Ty21a) contains viable bacteria that antibiotics can inactivate, reducing the immune response. Tigecycline is active against Salmonella, so vaccine failure is possible, though the intravenous-only use of tigecycline makes concurrent use uncommon.

How serious is the interaction between Tigecycline and Typhoid vaccine live?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Delay oral typhoid vaccination until the antibiotic course is complete, or use the inactivated injectable vaccine if immunisation cannot wait.

What other medicines interact with Tigecycline?

MediHelp also lists interactions of Tigecycline with, for example, Bcg vaccine live, Cholera vaccine, Microbiota. The full list is on the Tigecycline page.

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