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藥物交互作用

Bcg vaccine live + Deflazacort

嚴重程度: 禁忌併用

Bcg vaccine live and Deflazacort: 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

Deflazacort suppresses cellular immunity, so the live attenuated BCG organism may replicate unchecked and cause local or disseminated BCG infection. Vaccine response may also be blunted, leaving the patient inadequately protected.

用白話說明這項交互作用的意義

Bcg vaccine live and Deflazacort 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: High

為什麼會發生

Glucocorticoid-induced immunosuppression impairs control of the live attenuated organism and reduces the immune response to the vaccine.

處置方式

Do not give BCG to patients on immunosuppressive doses of deflazacort; defer vaccination until corticosteroid therapy has been stopped for the interval stated in the product labeling. Use an alternative preventive strategy if protection is needed urgently.

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 Bcg vaccine live 與 Deflazacort 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 Deflazacort?

MediHelp rates the interaction as contraindicated. Bcg vaccine live and Deflazacort 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. Deflazacort suppresses cellular immunity, so the live attenuated BCG organism may replicate unchecked and cause local or disseminated BCG infection. Vaccine response may also be blunted, leaving the patient inadequately protected.

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

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 give BCG to patients on immunosuppressive doses of deflazacort; defer vaccination until corticosteroid therapy has been stopped for the interval stated in the product labeling. Use an alternative preventive strategy if protection is needed urgently.

What other medicines interact with Deflazacort?

MediHelp also lists interactions of Deflazacort with, for example, Adenovirus types 4 and 7 live, Influenza virus vaccine quadrivalent intranasal, Measles mumps and rubella vaccine. The full list is on the Deflazacort page.

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