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Interazioni tra farmaci

Bcg vaccine live + Lomustine

Gravità: Controindicata

Bcg vaccine live and Lomustine: contraindicated interaction.

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Sintesi

Lomustine suppresses bone marrow and immune function, so live BCG may cause disseminated BCG infection. Vaccine efficacy is also reduced.

Cosa significa questa interazione in parole semplici

Bcg vaccine live and Lomustine 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.

Livello di evidenza: High

Perché avviene

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

Cosa fare

Avoid BCG vaccination during lomustine therapy and until immune recovery, generally at least 3 months after stopping. Seek specialist advice if exposure risk is high.

Cosa chiedere al farmacista

  • 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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Domande frequenti

Can I take Bcg vaccine live with Lomustine?

MediHelp rates the interaction as contraindicated. Bcg vaccine live and Lomustine 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. Lomustine suppresses bone marrow and immune function, so live BCG may cause disseminated BCG infection. Vaccine efficacy is also reduced.

How serious is the interaction between Bcg vaccine live and Lomustine?

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 BCG vaccination during lomustine therapy and until immune recovery, generally at least 3 months after stopping. Seek specialist advice if exposure risk is high.

What other medicines interact with Lomustine?

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

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