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藥物交互作用

Bcg vaccine live + Dapsone

嚴重程度: 嚴重

Bcg vaccine live and Dapsone: major interaction.

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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

Live BCG is a viable attenuated bacterium, and antibacterial drugs active against mycobacteria can kill the vaccine organisms and reduce the immune response. Dapsone has activity against mycobacteria, so vaccine efficacy may be impaired.

用白話說明這項交互作用的意義

Bcg vaccine live and Dapsone 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.

證據等級: Low

為什麼會發生

Dapsone's antimycobacterial activity may inactivate the live attenuated BCG organisms, reducing vaccine take.

處置方式

Defer BCG vaccination until dapsone therapy is finished, or revaccinate later if it was given during treatment. For intravesical BCG, avoid concurrent antimycobacterial therapy.

可向藥師詢問的問題

  • 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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建立帳號並開始 Pro+ 試用,即可解鎖 Bcg vaccine live 與 Dapsone 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 Bcg vaccine live with Dapsone?

MediHelp rates the interaction as major. Bcg vaccine live and Dapsone 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. Live BCG is a viable attenuated bacterium, and antibacterial drugs active against mycobacteria can kill the vaccine organisms and reduce the immune response. Dapsone has activity against mycobacteria, so vaccine efficacy may be impaired.

How serious is the interaction between Bcg vaccine live and Dapsone?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Defer BCG vaccination until dapsone therapy is finished, or revaccinate later if it was given during treatment. For intravesical BCG, avoid concurrent antimycobacterial therapy.

What other medicines interact with Dapsone?

MediHelp also lists interactions of Dapsone with, for example, Primaquine, Apalutamide, Belzutifan. The full list is on the Dapsone page.

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