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Interações medicamentosas

Bcg vaccine live + Etanercept

Gravidade: Contraindicada

Bcg vaccine live and Etanercept: contraindicated 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

BCG is a live attenuated vaccine, and in a patient receiving TNF blockade the vaccine organism may replicate without adequate control. This can lead to local or disseminated BCG infection. The vaccine response may also be blunted.

O que esta interação significa em palavras simples

Bcg vaccine live and Etanercept 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.

Nível de evidência: Moderate

Por que acontece

TNF inhibition impairs granuloma formation and mycobacterial containment, so the live attenuated organism can proliferate.

O que fazer

Do not give BCG to patients on etanercept. Complete the vaccination before starting etanercept, ideally at least 4 weeks beforehand, or defer it until the drug has been stopped for an adequate washout period.

O que perguntar ao farmacêutico

  • 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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Perguntas frequentes

Can I take Bcg vaccine live with Etanercept?

MediHelp rates the interaction as contraindicated. Bcg vaccine live and Etanercept 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. BCG is a live attenuated vaccine, and in a patient receiving TNF blockade the vaccine organism may replicate without adequate control. This can lead to local or disseminated BCG infection. The vaccine response may also be blunted.

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

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not give BCG to patients on etanercept. Complete the vaccination before starting etanercept, ideally at least 4 weeks beforehand, or defer it until the drug has been stopped for an adequate washout period.

What other medicines interact with Etanercept?

MediHelp also lists interactions of Etanercept with, for example, Golimumab, Measles mumps and rubella vaccine, Measles mumps and rubella vaccine live. The full list is on the Etanercept page.

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