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Лекарственные взаимодействия

Mesalamine + Varicella virus vaccine live

Тяжесть: Тяжёлое

Mesalamine and Varicella virus vaccine live: major interaction.

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Кратко

Mesalamine is a 5-aminosalicylate, and salicylate use after live varicella vaccination has been linked to Reye's syndrome in children. Systemic salicylate exposure from mesalamine is low, so the risk is theoretical but is included in labeling.

Что означает это взаимодействие простыми словами

Mesalamine and Varicella virus vaccine live 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.

Уровень доказательности: Low

Почему это происходит

Salicylate exposure after live varicella virus vaccination is thought to predispose to Reye's syndrome; the precise mechanism is not established.

Что делать

Avoid salicylate-containing products, including mesalamine, for about 6 weeks after vaccination in children and adolescents where possible. If mesalamine is essential, weigh the risks and benefits and counsel caregivers to report vomiting or altered behavior.

О чём спросить фармацевта

  • 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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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Частые вопросы

Can I take Mesalamine with Varicella virus vaccine live?

MediHelp rates the interaction as major. Mesalamine and Varicella virus vaccine live 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. Mesalamine is a 5-aminosalicylate, and salicylate use after live varicella vaccination has been linked to Reye's syndrome in children. Systemic salicylate exposure from mesalamine is low, so the risk is theoretical but is included in labeling.

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

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 salicylate-containing products, including mesalamine, for about 6 weeks after vaccination in children and adolescents where possible. If mesalamine is essential, weigh the risks and benefits and counsel caregivers to report vomiting or altered behavior.

What other medicines interact with Mesalamine?

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

Полные монографии, дозировки и проверка взаимодействий в приложении MediHelp

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