Drug Interactions between FluMist Quadrivalent and Urimar-T

The following interaction applies only to products containing sodium biphosphate that are used for bowel cleansing. It does not apply to products containing sodium biphosphate that are used for other, non-laxative related purposes.

Bowel cleansing with sodium biphosphate can cause kidney failure, in some cases up to several months after the procedure. Although it rarely occurs, the risk is increased in individuals receiving treatment with phenyl salicylate, especially if they are also elderly or frail. You may need a dose adjustment or special tests to safely use both medications. Combining these medications may also increase the risk of dehydration and electrolyte abnormalities. In severe cases, dehydration and electrolyte abnormalities can lead to irregular heart rhythm, seizures, and kidney problems. You should use sodium biphosphate exactly as prescribed by your doctor, and drink plenty of clear fluids before, during, and after the cleansing process to keep yourself hydrated. Your doctor may also recommend an electrolyte rehydration solution that you can use. Talk to your doctor if you have any concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

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Vaccination with influenza virus vaccine, live is not recommended in children less than 18 years of age who are receiving phenyl salicylate therapy. The use of phenyl salicylate or related medications has been linked to a serious and potentially fatal condition called Reye's syndrome in children with certain viral infections such as influenza or chicken pox. Because influenza virus vaccine, live contains live (but weakened) virus, there is some concern that it can cause Reye's syndrome when used with phenyl salicylate. The immunizing doctor should be informed of current or recent therapy with phenyl salicylate so that appropriate measures and/or precautions can be taken, such as substituting influenza virus vaccine, live with a vaccine that contains inactivated virus. Never give phenyl salicylate to children or adolescents who have a fever without talking to a doctor, especially if they also have flu symptoms or chicken pox. It is important to tell the doctor about all other medications being used, including vitamins and herbs. Do not stop using any medications without first talking to the doctor.

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