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Interações medicamentosas

Bcg vaccine live + Dapsone

Gravidade: Grave

Bcg vaccine live and Dapsone: major interaction.

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Para profissionais de saúde — apenas referência. Esta página é um resumo breve, não é aconselhamento médico nem substitui a bula oficial ou o julgamento clínico. Verifique sempre antes de prescrever ou dispensar.

O conteúdo clínico desta página está disponível apenas em inglês.

Resumo

Live BCG is a viable attenuated bacterium, and antibacterial drugs active against mycobacteria can kill the vaccine organisms and reduce the immune response. Dapsone has activity against mycobacteria, so vaccine efficacy may be impaired.

O que esta interação significa em palavras simples

Bcg vaccine live and Dapsone 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.

Nível de evidência: Low

Por que acontece

Dapsone's antimycobacterial activity may inactivate the live attenuated BCG organisms, reducing vaccine take.

O que fazer

Defer BCG vaccination until dapsone therapy is finished, or revaccinate later if it was given during treatment. For intravesical BCG, avoid concurrent antimycobacterial therapy.

O que perguntar ao farmacêutico

  • 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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Perguntas frequentes

Can I take Bcg vaccine live with Dapsone?

MediHelp rates the interaction as major. Bcg vaccine live and Dapsone 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. Live BCG is a viable attenuated bacterium, and antibacterial drugs active against mycobacteria can kill the vaccine organisms and reduce the immune response. Dapsone has activity against mycobacteria, so vaccine efficacy may be impaired.

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

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Defer BCG vaccination until dapsone therapy is finished, or revaccinate later if it was given during treatment. For intravesical BCG, avoid concurrent antimycobacterial therapy.

What other medicines interact with Dapsone?

MediHelp also lists interactions of Dapsone with, for example, Primaquine, Apalutamide, Belzutifan. The full list is on the Dapsone page.

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