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Interações medicamentosas

Bcg vaccine live + Hydrocortisone

Gravidade: Grave

Bcg vaccine live and Hydrocortisone: 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 given to patients on immunosuppressive corticosteroid doses may cause disseminated BCG infection. Corticosteroids also reduce the immune response to the vaccine.

O que esta interação significa em palavras simples

Bcg vaccine live and Hydrocortisone 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: Moderate

Por que acontece

Corticosteroid immunosuppression permits uncontrolled replication of live attenuated organisms.

O que fazer

Avoid live BCG in patients on immunosuppressive doses; defer vaccination until steroids are stopped or reduced to low doses, as per product labeling.

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 Hydrocortisone?

MediHelp rates the interaction as major. Bcg vaccine live and Hydrocortisone 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 given to patients on immunosuppressive corticosteroid doses may cause disseminated BCG infection. Corticosteroids also reduce the immune response to the vaccine.

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

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 BCG in patients on immunosuppressive doses; defer vaccination until steroids are stopped or reduced to low doses, as per product labeling.

What other medicines interact with Hydrocortisone?

MediHelp also lists interactions of Hydrocortisone with, for example, Mifepristone, Poliovirus vaccine live oral trivalent, Smallpox vaccine live. The full list is on the Hydrocortisone page.

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