Interações medicamentosas
Dengue vaccine + Pemetrexed
Gravidade: Grave
Dengue vaccine and Pemetrexed: 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 is a live attenuated vaccine. Pemetrexed is a cytotoxic antimetabolite that suppresses immunity, which may reduce the vaccine response and raise the risk of vaccine-related infection.
O que esta interação significa em palavras simples
Dengue vaccine and Pemetrexed 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
Immunosuppression from cytotoxic chemotherapy blunts vaccine response and permits uncontrolled replication of live attenuated virus.
O que fazer
Avoid live vaccines during pemetrexed therapy and for a period after recovery of immune function as specified by local guidance. Vaccinate before starting chemotherapy where possible.
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 Pemetrexed
Perguntas frequentes
Can I take Dengue vaccine with Pemetrexed?
MediHelp rates the interaction as major. Dengue vaccine and Pemetrexed 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 is a live attenuated vaccine. Pemetrexed is a cytotoxic antimetabolite that suppresses immunity, which may reduce the vaccine response and raise the risk of vaccine-related infection.
How serious is the interaction between Dengue vaccine and Pemetrexed?
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 vaccines during pemetrexed therapy and for a period after recovery of immune function as specified by local guidance. Vaccinate before starting chemotherapy where possible.
What other medicines interact with Pemetrexed?
MediHelp also lists interactions of Pemetrexed with, for example, Bacitracin, Brexucabtagene autoleucel, Celecoxib. The full list is on the Pemetrexed page.
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