Interações medicamentosas
Dengue vaccine + Fludarabine
Gravidade: Grave
Dengue vaccine and Fludarabine: 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
Dengue vaccine (Dengvaxia) is a live attenuated vaccine. Fludarabine-induced immunosuppression may blunt the immune response to it, and in a severely immunocompromised patient the live virus could cause vaccine-related disease.
O que esta interação significa em palavras simples
Dengue vaccine and Fludarabine 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.
Por que acontece
Fludarabine-induced lymphocyte depletion reduces the immune response to the vaccine and may allow uncontrolled replication of the live vaccine virus.
O que fazer
Do not give live dengue vaccine during fludarabine therapy or while the patient remains significantly immunosuppressed afterward; vaccinate once immune recovery is confirmed.
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?
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Outras interações de Fludarabine
- Adenovirus types 4 and 7 live + Fludarabine Contraindicada
- Fludarabine + Pentostatin Contraindicada
- Belatacept + Fludarabine Grave
- Etrasimod + Fludarabine Grave
- Fingolimod + Fludarabine Grave
- Fludarabine + Ofatumumab sc Grave
Perguntas frequentes
Can I take Dengue vaccine with Fludarabine?
MediHelp rates the interaction as major. Dengue vaccine and Fludarabine 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. Dengue vaccine (Dengvaxia) is a live attenuated vaccine. Fludarabine-induced immunosuppression may blunt the immune response to it, and in a severely immunocompromised patient the live virus could cause vaccine-related disease.
How serious is the interaction between Dengue vaccine and Fludarabine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not give live dengue vaccine during fludarabine therapy or while the patient remains significantly immunosuppressed afterward; vaccinate once immune recovery is confirmed.
What other medicines interact with Fludarabine?
MediHelp also lists interactions of Fludarabine with, for example, Adenovirus types 4 and 7 live, Pentostatin, Belatacept. The full list is on the Fludarabine page.
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