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Drug Interactions between cholera vaccine, live and teplizumab

This report displays the potential drug interactions for the following 2 drugs:

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Interactions between your drugs

Major

cholera vaccine, live teplizumab

Applies to: cholera vaccine, live and teplizumab

Consumer information for this interaction is not currently available.

ADJUST DOSING INTERVAL: The administration of live, attenuated viral or bacterial vaccines or oncolytic immunotherapy containing live, attenuated virus or bacteria to patients receiving teplizumab is not recommended, and may be associated with a risk of disseminated infection due to enhanced replication of virus or bacteria in the presence of diminished immune competence. In addition, teplizumab may interfere with the immune response to vaccination and decrease vaccine efficacy. However, data are not available. A specific timeframe for immunization of infants exposed to teplizumab in utero is not available due to a lack of sufficient data about infant serum levels or the duration of persistence of teplizumab in infant serum after birth.

MANAGEMENT: The administration of live, attenuated viral or bacterial vaccines or oncolytic immunotherapy containing live, attenuated virus or bacteria is not recommended within the 8 weeks prior to treatment, during, and for up to 52 weeks after treatment with teplizumab. Patients should be advised to receive all age-appropriate vaccinations prior to starting treatment with teplizumab. The risks and benefits should be considered prior to the administration of live, attenuated viral or bacterial vaccines or oncolytic immunotherapy containing live, attenuated virus or bacteria to infants exposed to teplizumab in utero.

References

  1. (2022) "Product Information. Tzield (teplizumab)." Provention Bio, Inc.

Drug and food interactions

Moderate

cholera vaccine, live food

Applies to: cholera vaccine, live

Consumer information for this interaction is not currently available.

ADJUST DOSING INTERVAL: Coadministration of oral cholera vaccine with food or an oral beverage may impair its efficacy. The formulations of both the inactivated and live, attenuated oral cholera vaccines (Dukoral and Vaxchora, respectively) are acid-labile, and must be administered with a buffer. According to the manufacturer, eating and drinking may interfere with the protective effect of the buffer. However, clinical data are not available.

MANAGEMENT: It is recommended that patients avoid eating or drinking for 60 minutes before and after administration of either Dukoral or Vaxchora oral cholera vaccines.

References

  1. (2023) "Product Information. Vaxchora (cholera vaccine, live)." Patientric Ltd
  2. (2022) "Product Information. Dukoral (vibrio cholerae vaccine)." Valneva Sweden AB
  3. (2023) "Product Information. Dukoral (cholera vaccine)." Valneva UK Ltd
  4. (2024) "Product Information. Vaxchora (cholera vaccine, live)." Emergent Travel Health, Inc
View all 4 references

Therapeutic duplication warnings

No warnings were found for your selected drugs.

Therapeutic duplication warnings are only returned when drugs within the same group exceed the recommended therapeutic duplication maximum.


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Drug Interaction Classification

These classifications are only a guideline. The relevance of a particular drug interaction to a specific individual is difficult to determine. Always consult your healthcare provider before starting or stopping any medication.
Major Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.
Unknown No interaction information available.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.