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Interações medicamentosas

Certolizumab pegol + Smallpox vaccine live

Gravidade: Contraindicada

Certolizumab pegol and Smallpox vaccine live: 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

Smallpox (vaccinia) vaccine contains replicating live virus that can cause progressive vaccinia in immunosuppressed patients. Certolizumab increases this risk and may reduce vaccine effectiveness.

O que esta interação significa em palavras simples

Certolizumab pegol and Smallpox vaccine live 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 cell-mediated control of replicating vaccinia virus.

O que fazer

Avoid vaccinia vaccine during certolizumab therapy unless risk of smallpox exposure clearly outweighs harm. Consider alternative non-replicating vaccines where available.

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 Certolizumab pegol with Smallpox vaccine live?

MediHelp rates the interaction as contraindicated. Certolizumab pegol and Smallpox vaccine live 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. Smallpox (vaccinia) vaccine contains replicating live virus that can cause progressive vaccinia in immunosuppressed patients. Certolizumab increases this risk and may reduce vaccine effectiveness.

How serious is the interaction between Certolizumab pegol and Smallpox vaccine live?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid vaccinia vaccine during certolizumab therapy unless risk of smallpox exposure clearly outweighs harm. Consider alternative non-replicating vaccines where available.

What other medicines interact with Certolizumab pegol?

MediHelp also lists interactions of Certolizumab pegol with, for example, Adenovirus types 4 and 7 live, Bcg intravesical live, Bcg vaccine live. The full list is on the Certolizumab pegol page.

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