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Interações medicamentosas

Dexamethasone + Zoster vaccine live

Gravidade: Contraindicada

Dexamethasone and Zoster 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 zoster vaccine contains replicating varicella-zoster virus, which may cause disseminated disease in patients on immunosuppressive doses of dexamethasone. The immune response to the vaccine may also be reduced.

O que esta interação significa em palavras simples

Dexamethasone and Zoster 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: Moderate

Por que acontece

Glucocorticoid-induced suppression of cell-mediated immunity allows replication of the attenuated virus.

O que fazer

Do not give live zoster vaccine during high-dose corticosteroid therapy; wait at least 1 month after stopping. Use the recombinant non-live zoster vaccine where available.

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 Dexamethasone with Zoster vaccine live?

MediHelp rates the interaction as contraindicated. Dexamethasone and Zoster 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 zoster vaccine contains replicating varicella-zoster virus, which may cause disseminated disease in patients on immunosuppressive doses of dexamethasone. The immune response to the vaccine may also be reduced.

How serious is the interaction between Dexamethasone and Zoster 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 zoster vaccine during high-dose corticosteroid therapy; wait at least 1 month after stopping. Use the recombinant non-live zoster vaccine where available.

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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