Drug General Information (ID: DDIKI9CRD8)
  Drug Name Lutetium Lu 177 dotatate Drug Info Smallpox (Vaccinia) Vaccine, Live Drug Info
  Drug Type Small molecule Vaccine
  Therapeutic Class Therapeutic Radiopharmaceuticals Vaccine

 Mechanism of Lutetium Lu 177 dotatate-Smallpox (Vaccinia) Vaccine, Live Interaction (Severity Level: Major)
     Antagonize the effect of vaccine/toxoid Click to Show/Hide Mechanism Graph
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      Drug Name Lutetium Lu 177 dotatate Smallpox (Vaccinia) 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 Smallpox (Vaccinia) Vaccine, Live when combined with Lutetium Lu 177 dotatate 

Recommended Action
      Management Routine, nonemergency smallpox vaccination is contraindicated in patients receiving immunosuppressive therapy or cancer chemotherapy. Vaccination should be deferred until after such therapy is discontinued for at least 3 months in most cases. A longer waiting period may be necessary following treatment with agents that have a prolonged elimination half-life (e.g., leflunomide, teriflunomide).

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 Cerner Multum, Inc. "Australian Product Information.".
3 Product Information. Dryvax (smallpox vaccine). Wyeth-Ayerst Laboratories, Philadelphia, PA.