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ActHIB Drug Interactions
Warfarin, azathioprine, and prednisone are among the medications that can cause drug interactions with ActHIB. Such reactions can cause the vaccine to be less effective and may increase the risk of side effects. To guard against these and other problems, tell the healthcare provider giving the ActHIB injection about all medicines your child is taking, including vitamins and supplements.
ActHIB® (Hib vaccine) can potentially react with a few medications. Some of the medicines that may lead to ActHIB drug interactions include:
- Anticoagulant medications, such as warfarin (Coumadin®, Jantoven®) or heparin
- Immunosuppressants, such as:
- Azathioprine (Imuran®)
- Certain biologic medications, such as:
- Abatacept (Orencia®)
- Adalimumab (Humira®)
- Alefacept (Amevive®)
- Alemtuzumab (Campath®)
- Anakinra (Kineret™)
- Basiliximab (Simulect®)
- Canakinumab (Ilaris®)
- Certolizumab pegol (Cimzia®)
- Daclizumab (Zenapax®)
- Eculizumab (Soliris®)
- Efalizumab (Raptiva®)
- Etanercept (Enbrel®)
- Gemtuzumab ozogamicin (Mylotarg®)
- Glatiramer (Copaxone®)
- Golimumab (Simponi™)
- Infliximab (Remicade®)
- Ibritumomab (Zevalin®)
- Muromonab-CD3 (Orthoclone OKT®)
- Natalizumab (Tysabri®)
- Ofatumumab (Arzerra™)
- Rilonacept (Arcalyst™)
- Rituximab (Rituxan®)
- Tositumomab (Bexxar®)
- Ustekinumab (Stelara™)
- Chemotherapy (as well as radiation treatment)
- Corticosteroids, such as:
- Betamethasone (Celestone®)
- Cortisone
- Dexamethasone (Decadron®)
- Fludrocortisone (Florinef®)
- Hydrocortisone (Cortef®)
- Methylprednisolone (Depo-Medrol®, Medrol®)
- Prednisolone (Pediapred®)
- Prednisone
- Triamcinolone (Kenalog®)
- Cyclophosphamide (Cytoxan®)
- Cyclosporine (Gengraf®, Neoral®, Sandimmune®)
- Methotrexate (Rheumatrex®)
- Mycophenolate (CellCept®)
- Sirolimus (Rapamune®)
- Tacrolimus (Prograf®).
Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD