Doctor insights on:
Shingles Vaccine For Autoimmune Diseases Patients On Methotrexate
Dose dependent: This judgement has to be made by the provider. Technically low dose Methotrexate is not considered a contraindication to receiving the shingles vaccine. But only your provider will have a full picture of your immune status. Shingles vaccine is a live vaccine and not given to those with significant immunosuppression. Read more
In auto immune disease the enemy is from with in. As name implies "auto" is self and "immune " is immune system. One 's own immune system for unknown reason turns against self and destroys or damages tissues or cells. List of auto immune disease are many and growing. End result is destruction of of tissues such as thyroid, pancreas or cells such as ...Read more
No as a general rule: Its best to offer live vaccines such as zostavax prior to initiating therapy with immunosupressive agents. Combination of Rituximab with a live vaccine may cause more harm than good. In rare cases, only your doctor can decide if the benefit of this vaccine outweighs the potential risks. If feasible, Rituximab may be stopped for a few months prior to administering live vaccine. Read more
My RA doc recommended stopping my wkly sunday dose of 20 mg methotrexate, getting my shingles vaccine monday, resume next sun dose. Is 20 a low dose?
2 months: The recommendation is 2 months.Get a more detailed answer ›
Probably safe: A person who has received a shingles vaccine is not contagious unless he develops a chicken pox-like rash. If a rash develops, the vaccinated person should restrict contact w/ a transplant patient (or anyone else) if that patient is susceptible to chickenpox. If the kidney transplant patient already had chicken pox, he is not at risk. Read more
It depends: Methotrexate is a potent immunosuppressive medication. It also helps reduce the need for corticosteroids that have significant side effects. Its major side effect is on the liver, causing liver damage; it can affect the lining of the gut; rarely it causes a hypersensitivity inflammation of the lung (Methotrexate pneumonitis). Therefore, patients need to be carefully monitored while on the drug, . Read moreSee 1 more doctor answer
Would you recommend the shingles vaccine for a 65 year old patient taking 7.5mg methotrexate once weekly for rheumatoid arthritis?
Dear doctors, flu season is coming up and vaccines are being given. But I read that vaccines can cause autoimmune diseases and other side effects torf?
Vaccines: Vaccines have been called into question as possible candidates, but existing research suggests that vaccines are safe, effective, and do not increase the risk of autoimmune disorders. Read more
What pneumococcal vaccine is recomended for Pulmonary Hypertension, PCV13 or PPSV23? And with an autoimmune disease?
Lupus autoimmunity: Yes.Get a more detailed answer ›
Can the flu shot in a Hashi's patient trigger an underlying autoimmune disease? Fam hx of RA, MS, and SLE. Do not want to trigger these in self.
Flu shot.: Not likely but it will protect you from dying of the flu. But the choice is always yours. Discuss with your team. Read more
Patient female 44 years old with angiotensin converting enzyme results show 75 h 9-67 u/l. Autoimmune disease?
The shingles vaccine protects your body from reactivation of a virus — the chickenpox (varicella-zoster) virus — that most people are exposed to during childhood. When you recover from chickenpox, the virus stays latent in your body. For unknown reasons, though, the latent virus sometimes gets reactivated years later, causing shingles. The shingles ...Read more
The immune system developed to tell our own, normal cells (self) from foreign and abnormal cells (non-self). This lets the immune system eliminate viruses, bacteria, fungi and cancer cells from our body without harming normal cells. Sometimes the immune system fails to tell self from non-self and it attacks normal cells, for example in ...Read more
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