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Interações medicamentosas

Cholera vaccine + Doxycycline

Gravidade: Grave

Cholera vaccine and Doxycycline: 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

The oral live attenuated cholera vaccine contains a living bacterial strain that doxycycline can kill, which may reduce the vaccine's immune response and protection. Antibiotic exposure around the time of vaccination can therefore make the vaccine ineffective.

O que esta interação significa em palavras simples

Cholera vaccine and Doxycycline 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

Antibacterial activity of doxycycline against the live attenuated Vibrio cholerae vaccine strain impairs colonization and immunogenicity.

O que fazer

Avoid giving the live oral cholera vaccine to patients who have taken systemic antibiotics in the preceding 14 days, and do not give antibiotics near vaccination. Delay vaccination until after the antibiotic course.

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 Cholera vaccine with Doxycycline?

MediHelp rates the interaction as major. Cholera vaccine and Doxycycline 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. The oral live attenuated cholera vaccine contains a living bacterial strain that doxycycline can kill, which may reduce the vaccine's immune response and protection. Antibiotic exposure around the time of vaccination can therefore make the vaccine ineffective.

How serious is the interaction between Cholera vaccine and Doxycycline?

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 giving the live oral cholera vaccine to patients who have taken systemic antibiotics in the preceding 14 days, and do not give antibiotics near vaccination. Delay vaccination until after the antibiotic course.

What other medicines interact with Doxycycline?

MediHelp also lists interactions of Doxycycline with, for example, Acitretin, Aminolevulinic acid, Isotretinoin. The full list is on the Doxycycline page.

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