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Interações medicamentosas

Dacarbazine + Dengue vaccine

Gravidade: Grave

Dacarbazine and Dengue vaccine: 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 dengue vaccine is a live attenuated vaccine. In patients on cytotoxic chemotherapy the immune response may be reduced, and replication of the live virus may be less controlled, which is a safety concern.

O que esta interação significa em palavras simples

Dacarbazine and Dengue vaccine 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

Chemotherapy-induced immunosuppression reduces vaccine response and may permit uncontrolled replication of live attenuated virus.

O que fazer

Avoid live vaccination during chemotherapy and defer until immune recovery according to vaccine labeling and local guidance. Consider non-live vaccines where appropriate.

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 Dacarbazine with Dengue vaccine?

MediHelp rates the interaction as major. Dacarbazine and Dengue vaccine 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 dengue vaccine is a live attenuated vaccine. In patients on cytotoxic chemotherapy the immune response may be reduced, and replication of the live virus may be less controlled, which is a safety concern.

How serious is the interaction between Dacarbazine and Dengue vaccine?

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 vaccination during chemotherapy and defer until immune recovery according to vaccine labeling and local guidance. Consider non-live vaccines where appropriate.

What other medicines interact with Dacarbazine?

MediHelp also lists interactions of Dacarbazine with, for example, Adenovirus types 4 and 7 live, Axicabtagene ciloleucel, Belatacept. The full list is on the Dacarbazine page.

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