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Interações medicamentosas

Dexamethasone + Varicella virus vaccine live

Gravidade: Contraindicada

Dexamethasone and Varicella virus vaccine live: 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

Live varicella vaccine can cause disseminated vaccine-strain varicella in patients who are immunosuppressed by high-dose dexamethasone. The vaccine response may also be reduced.

O que esta interação significa em palavras simples

Dexamethasone and Varicella virus vaccine live 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: High

Por que acontece

Glucocorticoid-induced suppression of cellular immunity permits uncontrolled replication of the attenuated virus.

O que fazer

Do not give live varicella vaccine to patients on immunosuppressive doses of corticosteroids. Wait at least 1 month after stopping high-dose therapy, and vaccinate before starting treatment when possible.

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?

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Perguntas frequentes

Can I take Dexamethasone with Varicella virus vaccine live?

MediHelp rates the interaction as contraindicated. Dexamethasone and Varicella virus vaccine live 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. Live varicella vaccine can cause disseminated vaccine-strain varicella in patients who are immunosuppressed by high-dose dexamethasone. The vaccine response may also be reduced.

How serious is the interaction between Dexamethasone and Varicella virus vaccine live?

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 give live varicella vaccine to patients on immunosuppressive doses of corticosteroids. Wait at least 1 month after stopping high-dose therapy, and vaccinate before starting treatment when possible.

What other medicines interact with Dexamethasone?

MediHelp also lists interactions of Dexamethasone with, for example, Bcg vaccine live, Mifepristone, Rilpivirine. The full list is on the Dexamethasone page.

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