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Interações medicamentosas

Cyclosporin + Dengue vaccine

Gravidade: Contraindicada

Cyclosporin and Dengue vaccine: 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

The dengue vaccine is a live attenuated vaccine, so in a patient on cyclosporin the vaccine virus may replicate excessively and cause disease. The immune response may also be inadequate.

O que esta interação significa em palavras simples

Cyclosporin and Dengue vaccine 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

Impaired cell-mediated immunity from calcineurin inhibition allows uncontrolled replication of the live vaccine virus and weakens the response.

O que fazer

Do not administer the dengue vaccine during cyclosporin therapy. Consider vaccination only after immunosuppression has been stopped for an adequate interval, in consultation with a specialist.

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 Cyclosporin with Dengue vaccine?

MediHelp rates the interaction as contraindicated. Cyclosporin and Dengue vaccine 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. The dengue vaccine is a live attenuated vaccine, so in a patient on cyclosporin the vaccine virus may replicate excessively and cause disease. The immune response may also be inadequate.

How serious is the interaction between Cyclosporin and Dengue vaccine?

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 administer the dengue vaccine during cyclosporin therapy. Consider vaccination only after immunosuppression has been stopped for an adequate interval, in consultation with a specialist.

What other medicines interact with Cyclosporin?

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

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