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Interações medicamentosas

Hydrocortisone + Poliovirus vaccine live oral trivalent

Gravidade: Contraindicada

Hydrocortisone and Poliovirus vaccine live oral trivalent: 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

Oral polio vaccine is live attenuated and in immunosuppressed patients can cause vaccine-associated paralytic poliomyelitis. Immunosuppressive doses of hydrocortisone also reduce immune response.

O que esta interação significa em palavras simples

Hydrocortisone and Poliovirus vaccine live oral trivalent 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

Corticosteroid-induced immunosuppression permits prolonged replication of live attenuated poliovirus and reduces immunogenicity.

O que fazer

Do not use live oral polio vaccine in patients on immunosuppressive corticosteroids; use inactivated polio vaccine instead. Household contacts should also preferably receive inactivated vaccine.

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 Hydrocortisone with Poliovirus vaccine live oral trivalent?

MediHelp rates the interaction as contraindicated. Hydrocortisone and Poliovirus vaccine live oral trivalent 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. Oral polio vaccine is live attenuated and in immunosuppressed patients can cause vaccine-associated paralytic poliomyelitis. Immunosuppressive doses of hydrocortisone also reduce immune response.

How serious is the interaction between Hydrocortisone and Poliovirus vaccine live oral trivalent?

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 use live oral polio vaccine in patients on immunosuppressive corticosteroids; use inactivated polio vaccine instead. Household contacts should also preferably receive inactivated vaccine.

What other medicines interact with Hydrocortisone?

MediHelp also lists interactions of Hydrocortisone with, for example, Mifepristone, Smallpox vaccine live, Adenovirus types 4 and 7 live. The full list is on the Hydrocortisone page.

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