相互作用
Cholera vaccine + Doxycycline
重症度: 重大
Cholera vaccine and Doxycycline: major interaction.
最終更新日
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概要
The oral live attenuated cholera vaccine contains a living bacterial strain that doxycycline can kill, which may reduce the vaccine's immune response and protection. Antibiotic exposure around the time of vaccination can therefore make the vaccine ineffective.
この相互作用をわかりやすく説明すると
Cholera vaccine and Doxycycline 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.
なぜ起こるのか
Antibacterial activity of doxycycline against the live attenuated Vibrio cholerae vaccine strain impairs colonization and immunogenicity.
対処法
Avoid giving the live oral cholera vaccine to patients who have taken systemic antibiotics in the preceding 14 days, and do not give antibiotics near vaccination. Delay vaccination until after the antibiotic course.
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?
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、Cholera vaccineとDoxycycline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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Doxycyclineのその他の相互作用
よくある質問
Can I take Cholera vaccine with Doxycycline?
MediHelp rates the interaction as major. Cholera vaccine and Doxycycline 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. The oral live attenuated cholera vaccine contains a living bacterial strain that doxycycline can kill, which may reduce the vaccine's immune response and protection. Antibiotic exposure around the time of vaccination can therefore make the vaccine ineffective.
How serious is the interaction between Cholera vaccine and Doxycycline?
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 giving the live oral cholera vaccine to patients who have taken systemic antibiotics in the preceding 14 days, and do not give antibiotics near vaccination. Delay vaccination until after the antibiotic course.
What other medicines interact with Doxycycline?
MediHelp also lists interactions of Doxycycline with, for example, Acitretin, Aminolevulinic acid, Isotretinoin. The full list is on the Doxycycline 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。
