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Interações medicamentosas

Methylprednisolone + Smallpox vaccine live

Gravidade: Contraindicada

Methylprednisolone and Smallpox vaccine live: contraindicated interaction.

Última atualização Fontes: US FDA label

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 vaccinia vaccine can cause progressive vaccinia and generalized infection in immunosuppressed patients, including those on corticosteroids. The vaccine response may also be reduced.

O que esta interação significa em palavras simples

Methylprednisolone and Smallpox 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

Corticosteroid-induced immunosuppression allows uncontrolled replication of live vaccinia virus.

O que fazer

Avoid live smallpox vaccine in patients on immunosuppressive steroids outside an emergency. If exposure risk is high, use a non-replicating vaccine where available and obtain specialist advice.

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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Referências

Perguntas frequentes

Can I take Methylprednisolone with Smallpox vaccine live?

MediHelp rates the interaction as contraindicated. Methylprednisolone and Smallpox 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 vaccinia vaccine can cause progressive vaccinia and generalized infection in immunosuppressed patients, including those on corticosteroids. The vaccine response may also be reduced.

How serious is the interaction between Methylprednisolone and Smallpox 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: Avoid live smallpox vaccine in patients on immunosuppressive steroids outside an emergency. If exposure risk is high, use a non-replicating vaccine where available and obtain specialist advice.

What other medicines interact with Methylprednisolone?

MediHelp also lists interactions of Methylprednisolone with, for example, Bcg vaccine live, Measles mumps and rubella vaccine live, Measles mumps rubella and varicella vaccine live. The full list is on the Methylprednisolone page.

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