top of page
Search

COMPROMISED VACCINATIONS

What should you do if your patient was given vaccines during immunosuppression?

 

Click here for previous newsletters.


1. Counselling Conundrum: a real question from a patient

2. Concise Conclusion: a straight-forward patient-friendly answer 

3. Quick Wrap-up 

 

Clearly, there are nuances that may not be captured in this format. The goal here is to provide you with helpful counselling tips which often draw from multiple sources or those which are not commonly accessed by busy healthcare providers serving the community.


Counselling Conundrum: "My immunologist said I should restart several vaccine series that I got while I was taking my Cellcept for my skin disorder, but the nurse at my family doctor's office said I don't. What should I do?"

 

Concise Conclusion: This is certainly a complex situation. Doses given while your immune system is weakened may need to be repeated when you are no longer taking your Cellcept (and stopping may or may not be possible depending on your condition). For some illnesses, we can test to see if you're immune (e.g., Hepatitis B), or use a modified dosing series (e.g. double the dose for 3-4 doses, 3-dose schedule for HPV). In this case, I would follow the recommendation of your immunologist.

 

Quick Wrap-up: This example is regarding immunosuppressive therapy, but with CAR T cell therapy or HSCT patients, they are considered "never immunized", as their bone marrow has been affected, which means restarting all previous immunization series. There are many nuances, but the Canada Immunization Guide gives you everything you need to answer these questions (linked below).

 

 

Dive Deeper

 

 

We hope you have found this useful. A reply to this email with any feedback or topic suggestion you may have would be greatly appreciated. Your input will be the key to making this newsletter the best it can be.

0 views0 comments

Recent Posts

See All

Comments


bottom of page