Drug General Information (ID: DDIBZ7OL8Y)
  Drug Name Vedolizumab Drug Info Typhoid vaccine (live) Drug Info
  Drug Type Monoclonal antibody Vaccine
  Therapeutic Class Selective Immunosuppressants Vaccine

 Mechanism of Vedolizumab-Typhoid vaccine (live) Interaction (Severity Level: Major)
     Antagonize the effect of vaccine/toxoid Click to Show/Hide Mechanism Graph
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      Drug Name Vedolizumab Typhoid vaccine (live)
      Mechanism Immunosuppressive effects Vaccine or toxoid
      Key Mechanism Factor 1
Factor Name Vaccine/toxoid
Factor Description The beneficial effects of the vaccine/toxinoid may be reduced, leading to a diminished or suboptimal immune response.
      Mechanism Description
  • Antagonize the effect of Typhoid vaccine (live) when combined with Vedolizumab 

Recommended Action
      Management In general, live attenuated vaccines should not be used in patients receiving immunosuppressive therapy. Vaccination should be deferred until after such therapy is discontinued for at least 3 months in most cases, and longer following treatment with agents that have a prolonged elimination half-life. In patients who have recently been vaccinated, such therapy should not be initiated for at least 2 weeks. Vedolizumab labeling recommends that patients be brought up-to-date with all immunizations according to current immunization guidelines prior to initiating treatment. Live vaccines may be administered concurrently with vedolizumab only if the benefits outweigh the risks.

References
1 CDC. Centers for Disease Control and Prevention/ "Recommendations of the advisory committtee on immunization practices (ACIP): use of vaccines and immune globulins in persons with altered immunocompetence." MMWR Morb Mortal Wkly Rep 42(RR-04) (1993): 1-18. [PMID: 20300058]
2 Product Information. Entyvio (vedolizumab). Takeda Pharmaceuticals America, Lincolnshire, IL.
3 Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo DL, eds. "Harrison's Principles of Internal Medicine. 14th ed." New York, NY: McGraw-Hill Health Professionals Division (1998).