藥物交互作用
Cholera vaccine + Doxycycline
嚴重程度: 嚴重
Cholera vaccine and Doxycycline: major interaction.
最後更新
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本頁的臨床內容僅提供英文版。
摘要
The oral live attenuated cholera vaccine contains a living bacterial strain that doxycycline can kill, which may reduce the vaccine's immune response and protection. Antibiotic exposure around the time of vaccination can therefore make the vaccine ineffective.
用白話說明這項交互作用的意義
Cholera vaccine and Doxycycline 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.
為什麼會發生
Antibacterial activity of doxycycline against the live attenuated Vibrio cholerae vaccine strain impairs colonization and immunogenicity.
處置方式
Avoid giving the live oral cholera vaccine to patients who have taken systemic antibiotics in the preceding 14 days, and do not give antibiotics near vaccination. Delay vaccination until after the antibiotic course.
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?
Doxycycline 的其他交互作用
常見問題
Can I take Cholera vaccine with Doxycycline?
MediHelp rates the interaction as major. Cholera vaccine and Doxycycline 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. The oral live attenuated cholera vaccine contains a living bacterial strain that doxycycline can kill, which may reduce the vaccine's immune response and protection. Antibiotic exposure around the time of vaccination can therefore make the vaccine ineffective.
How serious is the interaction between Cholera vaccine and Doxycycline?
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 giving the live oral cholera vaccine to patients who have taken systemic antibiotics in the preceding 14 days, and do not give antibiotics near vaccination. Delay vaccination until after the antibiotic course.
What other medicines interact with Doxycycline?
MediHelp also lists interactions of Doxycycline with, for example, Acitretin, Aminolevulinic acid, Isotretinoin. The full list is on the Doxycycline page.
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