藥物交互作用
Dexamethasone + Smallpox vaccine live
嚴重程度: 禁忌併用
Dexamethasone and Smallpox vaccine live: 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
Live vaccinia vaccine in a patient on immunosuppressive corticosteroids risks progressive vaccinia and other serious complications, along with reduced vaccine response.
用白話說明這項交互作用的意義
Dexamethasone and Smallpox vaccine live 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.
為什麼會發生
Glucocorticoid immunosuppression permits uncontrolled replication of live vaccinia virus.
處置方式
Avoid in patients on immunosuppressive steroid doses outside of a high-risk exposure scenario where specialist advice weighs the risk. Otherwise delay until steroids are stopped and immune function recovers.
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?
Dexamethasone 的其他交互作用
常見問題
Can I take Dexamethasone with Smallpox vaccine live?
MediHelp rates the interaction as contraindicated. Dexamethasone and Smallpox vaccine live 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. Live vaccinia vaccine in a patient on immunosuppressive corticosteroids risks progressive vaccinia and other serious complications, along with reduced vaccine response.
How serious is the interaction between Dexamethasone and Smallpox vaccine live?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid in patients on immunosuppressive steroid doses outside of a high-risk exposure scenario where specialist advice weighs the risk. Otherwise delay until steroids are stopped and immune function recovers.
What other medicines interact with Dexamethasone?
MediHelp also lists interactions of Dexamethasone with, for example, Bcg vaccine live, Mifepristone, Rilpivirine. The full list is on the Dexamethasone page.
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