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Interações medicamentosas

Bcg vaccine live + Prednisolone

Gravidade: Contraindicada

Bcg vaccine live and Prednisolone: 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 mycobacterium that can cause disseminated BCG disease in immunosuppressed patients, and prednisolone may also reduce the response. This is a risk of serious infection.

O que esta interação significa em palavras simples

Bcg vaccine live and Prednisolone 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

Corticosteroid-induced suppression of cell-mediated immunity permits uncontrolled replication of live BCG and reduces vaccine response.

O que fazer

Do not give BCG during immunosuppressive prednisolone therapy; defer until steroids have been stopped for an adequate interval, per local guidance. Assess alternative TB prevention strategies if indicated.

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?

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Perguntas frequentes

Can I take Bcg vaccine live with Prednisolone?

MediHelp rates the interaction as contraindicated. Bcg vaccine live and Prednisolone 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 mycobacterium that can cause disseminated BCG disease in immunosuppressed patients, and prednisolone may also reduce the response. This is a risk of serious infection.

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

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 during immunosuppressive prednisolone therapy; defer until steroids have been stopped for an adequate interval, per local guidance. Assess alternative TB prevention strategies if indicated.

What other medicines interact with Prednisolone?

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

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