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藥物交互作用

Bcg vaccine live + Sirolimus

嚴重程度: 禁忌併用

Bcg vaccine live and Sirolimus: contraindicated 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

Sirolimus suppresses immune responses, so a live BCG vaccine may fail to produce protection and may cause disseminated BCG infection. Live vaccines are generally avoided in patients on immunosuppressive therapy.

用白話說明這項交互作用的意義

Bcg vaccine live and Sirolimus 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

Sirolimus-mediated immunosuppression allows uncontrolled replication of the live attenuated organism and blunts the vaccine response.

處置方式

Do not give live BCG vaccine during sirolimus therapy. Vaccinate before starting immunosuppression where feasible.

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 Sirolimus 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

在網頁版免費試用 Pro+ 14 天,無需信用卡。

常見問題

Can I take Bcg vaccine live with Sirolimus?

MediHelp rates the interaction as contraindicated. Bcg vaccine live and Sirolimus 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. Sirolimus suppresses immune responses, so a live BCG vaccine may fail to produce protection and may cause disseminated BCG infection. Live vaccines are generally avoided in patients on immunosuppressive therapy.

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

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 live BCG vaccine during sirolimus therapy. Vaccinate before starting immunosuppression where feasible.

What other medicines interact with Sirolimus?

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

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