藥物交互作用
Measles mumps rubella and varicella vaccine live + Methotrexate
嚴重程度: 禁忌併用
Measles mumps rubella and varicella vaccine live and Methotrexate: 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
This combined live vaccine contains four attenuated viruses that may replicate unchecked in patients on methotrexate, risking disseminated infection. Vaccine effectiveness may also be reduced.
用白話說明這項交互作用的意義
Measles mumps rubella and varicella vaccine live and Methotrexate 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
Methotrexate-induced immunosuppression impairs clearance of live attenuated viruses.
處置方式
Do not administer during methotrexate therapy; give at least 4 weeks before starting treatment when possible, or use separate non-live alternatives where available.
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?
Methotrexate 的其他交互作用
常見問題
Can I take Measles mumps rubella and varicella vaccine live with Methotrexate?
MediHelp rates the interaction as contraindicated. Measles mumps rubella and varicella vaccine live and Methotrexate 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. This combined live vaccine contains four attenuated viruses that may replicate unchecked in patients on methotrexate, risking disseminated infection. Vaccine effectiveness may also be reduced.
How serious is the interaction between Measles mumps rubella and varicella vaccine live and Methotrexate?
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 administer during methotrexate therapy; give at least 4 weeks before starting treatment when possible, or use separate non-live alternatives where available.
What other medicines interact with Methotrexate?
MediHelp also lists interactions of Methotrexate with, for example, Acitretin, Adenovirus types 4 and 7 live, Influenza virus vaccine quadrivalent intranasal. The full list is on the Methotrexate page.
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