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藥物交互作用

Azathioprine + Influenza virus vaccine quadrivalent intranasal

嚴重程度: 禁忌併用

Azathioprine and Influenza virus vaccine quadrivalent intranasal: contraindicated interaction.

最後更新

僅供醫療專業人員參考。本頁為簡要摘要,並非醫療建議,亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。

本頁的臨床內容僅提供英文版。

摘要

The intranasal influenza vaccine contains live attenuated virus, which could replicate more extensively in a patient immunosuppressed by azathioprine. This creates a risk of vaccine-strain infection, and the vaccine response may also be reduced.

用白話說明這項交互作用的意義

Azathioprine and Influenza virus vaccine quadrivalent intranasal 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.

證據等級: Moderate

為什麼會發生

Azathioprine-induced impairment of cellular immunity may allow uncontrolled replication of live attenuated virus.

處置方式

Do not use the live intranasal vaccine in patients on azathioprine. Give an inactivated injectable influenza vaccine instead.

可向藥師詢問的問題

  • 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.

Pro+ 會員專屬

解鎖完整頁面

建立帳號並開始 Pro+ 試用,即可解鎖 Azathioprine 與 Influenza virus vaccine quadrivalent intranasal 的完整臨床處置建議、補充說明、證據詳情及整張處方的交互作用檢查工具。

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

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常見問題

Can I take Azathioprine with Influenza virus vaccine quadrivalent intranasal?

MediHelp rates the interaction as contraindicated. Azathioprine and Influenza virus vaccine quadrivalent intranasal 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. The intranasal influenza vaccine contains live attenuated virus, which could replicate more extensively in a patient immunosuppressed by azathioprine. This creates a risk of vaccine-strain infection, and the vaccine response may also be reduced.

How serious is the interaction between Azathioprine and Influenza virus vaccine quadrivalent intranasal?

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 the live intranasal vaccine in patients on azathioprine. Give an inactivated injectable influenza vaccine instead.

What other medicines interact with Azathioprine?

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

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