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相互作用

Bendamustine + Dengue vaccine

重症度: 重大

Bendamustine and Dengue vaccine: major interaction.

最終更新日

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このページの臨床コンテンツは英語でのみ提供されています。

概要

Dengue vaccine is a live attenuated vaccine. In patients immunosuppressed by bendamustine, the response may be reduced and there is a risk of vaccine-related infection.

この相互作用をわかりやすく説明すると

Bendamustine and Dengue vaccine 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.

エビデンスレベル: Moderate

なぜ起こるのか

Cytotoxic immunosuppression and lymphodepletion impair vaccine response and permit replication of the live virus.

対処法

Avoid live vaccine during bendamustine therapy and until immune recovery. Vaccinate before starting treatment when possible or use non-live alternatives.

薬剤師に尋ねること

  • 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.

Pro+会員向け

ページ全体を見る

アカウントを作成してPro+トライアルを始めると、BendamustineとDengue vaccineの臨床対応の詳細なアドバイス、追加の注記、エビデンスの詳細、処方全体を対象とした相互作用チェッカーを利用できます。

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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よくある質問

Can I take Bendamustine with Dengue vaccine?

MediHelp rates the interaction as major. Bendamustine and Dengue vaccine 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. Dengue vaccine is a live attenuated vaccine. In patients immunosuppressed by bendamustine, the response may be reduced and there is a risk of vaccine-related infection.

How serious is the interaction between Bendamustine and Dengue vaccine?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid live vaccine during bendamustine therapy and until immune recovery. Vaccinate before starting treatment when possible or use non-live alternatives.

What other medicines interact with Bendamustine?

MediHelp also lists interactions of Bendamustine with, for example, Axicabtagene ciloleucel, Brexucabtagene autoleucel, Chlorambucil. The full list is on the Bendamustine page.

完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで

MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。

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