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?
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
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 more
Would you recommend the shingles vaccine for a 65 year old patient taking 7.5mg methotrexate once weekly for rheumatoid arthritis?
Hello~ ZOSTAVAX +65yo + MTX??
ANSWER: YES ABSOLUTELY DEFINITELY
THANKS ...Read more
Yes: All the more reason to do so, since the chicken pox would may make the skin rash much more bothersome. ...Read more
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?
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
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
Lupus autoimmunity: Yes.Get a more detailed answer ›
Patient female 44 years old with angiotensin converting enzyme results show 75 h 9-67 u/l. Autoimmune disease?
It should: Check with your insurer. Coverage varies depending on a number of factors including your age. ...Read more
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
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
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
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
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
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
Yes: This vaccine is recommended no matter what the known status is, when age appropriate. ...Read more
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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