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Doctor insights on: Shingles Vaccine For Autoimmune Diseases Patients On Methotrexate

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Should methotrexate patients get shingles vaccine?

Should methotrexate patients get shingles vaccine?

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

Dr. Tracy Lovell
502 Doctors shared insights

Autoimmune Disease (Definition)

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


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Can I receive the shingles vaccine if I have RA a and I am taking methotrexate and rituximab?

Can I receive the shingles vaccine if I have RA a and I am taking methotrexate and rituximab?

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

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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?

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?

Individual: The dosage is vary and will be different for different patients. Do not adjust the dose by yourself. Take this medicine only as directed by your doctor.
If concern, is always good to ask your physician. ...Read more

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How much time should I be off my methotrexate before I get the shingles vaccine?

How much time should I be off my methotrexate before I get the shingles vaccine?

2 months: That is somewhat controversial as there is some evidence that it can be given while on methotrexate. The current recommendation is to be off of it for 2 months. ...Read more

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Should transplant patients stay away from people with shingles vaccine?

Should transplant patients stay away from people with shingles vaccine?

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

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Getting conflicting answers on whether an asplenic patient should get shingles vaccine?

Getting conflicting answers on whether an asplenic patient should get shingles vaccine?

If you are 60+,: And have no other contraindications, there is no reason not to get the shingles vaccine. Anyone telling you that being asplenic should keep you from getting this live attenuated vaccine has no understanding about asplenism. ...Read more

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What happens if taking methotrexate for autoimmune diseases?

What happens if taking methotrexate for autoimmune diseases?

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 more

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Should I get the shingles vaccine if I have lichen sclerosis which is an autoimmunity disease?

Should I get the shingles vaccine if I have lichen sclerosis which is an autoimmunity disease?

Yes: All the more reason to do so, since the chicken pox would may make the skin rash much more bothersome. ...Read more

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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?

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

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What pneumococcal vaccine is recomended for Pulmonary Hypertension, PCV13 or PPSV23? And with an autoimmune disease?

What pneumococcal vaccine is recomended for Pulmonary Hypertension, PCV13 or PPSV23? And with an autoimmune disease?

Both are recommended: There is overlap between the vaccines, but some individuals get a better response from the PCV13 vaccine. See the article published in Morbidity and Mortality:http://www. Cdc. Gov/mmwr/preview/mmwrhtml/mm6337a4.htm ...Read more

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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.

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

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Patient female 44 years old with angiotensin converting enzyme results show 75 h 9-67 u/l. Autoimmune disease?

Patient female 44 years old with angiotensin converting enzyme results show 75 h 9-67 u/l. Autoimmune disease?

Maybe yes or no: And elevated ace level could suggest sarcoidosis. But this is not diagnostic and sometimes it is elevated and other conditions. Your evaluation will include looking at these options. ...Read more

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How much does the shingles vaccine normally cost?

How much does the shingles vaccine normally cost?

Zostavax: My understanding is that Zostavax (Zoster Vaccine Live) often costs $150–$300 per vaccination. ...Read more

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Does insurance cover the cost of the shingles vaccine?

It should: Check with your insurer. Coverage varies depending on a number of factors including your age. ...Read more

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My 31yr old husband has shingles, should I get the shingles vaccine? I am29. Can I get shingles from him?

Herpes zoster: This is the same virus that causes chickenpox and if you have had that you may be at risk of getting shingles. If not, you are at risk of getting chickenpox. My advice is to get the vaccine if you can afford it. Even if you have had chickenpox it makes the onset of later shingles less likely. ...Read more

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Am I contagious to small children from a new shingles vaccine shot?

Not really.: But the weakened vaccine virus is only possibly dangerous to newborns (under 1 month age) and people with severely compromised immune systems (aids, scid, bone marrow transplant.) avoid such people for a couple of months after the shot just to be safe. ...Read more

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How effective is the shingles vaccine for a 60 year old vs a 80 year old?

Vaccine efficacy: The efficacy of the vaccine in preventing shingles is higher in ages 60-69 years -- vaccine efficacy is 64%. In patients older than 70, vaccine efficacy is 38%. ...Read more

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Can the shingles vaccine be taken with humira (adalimumab)?

Not a good idea: The shingles vaccincation (known as zostervax) is a live virus, therefore you would run the risk of infection from the vaccination itself. Any medication in the class of drugs like Humira (adalimumab) would be a no-no to receiving the shingles vaccine. This is the official published guidelines from rheumatologists that just came out in early 2012. ...Read more

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My neighbor has shingles, I got the shingles vaccine. Is it safe to visit her?

My neighbor has shingles, I got the shingles vaccine. Is it safe to visit her?

Yes: You are at no risk of any infection from exposure to your friend. If you had chickenpox or the vaccine as a kid, you cannot get it from exposure to shingles. The shingles vaccine would also boost your protection. For shingles, only the debris from the blisters contain infectious material, simple avoidance protects even those not already immune. ...Read more

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Is exposure to someone vaccinated with the shingles vaccine harmful to babies?

Just say no: The shingles vaccine uses a live virus, so it can shed, causing them to possibly get chickenpox from you.

Merck says at http://www. Merck. Com/product/usa/pi_circ… "transmission of vaccine virus may occur rarely between vacinees and susceptible contacts"

babies are just developing their immunity, so they may be at more risk. The disease is usually better tolerated in kids though. ...Read more

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If my varicella titer is positive, do I need the shingles vaccine?

Maybe, maybe not: The varicella titer just confirms you had it in the past or had the vaccine. It does not predict whether you may have shingles in the future. The shingles vaccine is primarily intended for the older population, those over 50.I would talk the issue over with the doc who knows your history best. ...Read more

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Do I need shingles vaccine if I might have had genital herpes?

Do I need shingles vaccine if I might have had genital herpes?

No: Totally unrelated! shingles vaccine is recommended for those over the age of 65.
There is no vaccine for herpes, a totally different virus. ...Read more

Dr. Heidi Fowler
123 Doctors shared insights

Shingles Vaccine (Definition)

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


Autoimmune (Definition)

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