Typhoid Vaccine Live Oral (Systemic)

Brand Names : Vivotif Berna

Before Using This Vaccine

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For typhoid vaccine, the following should be considered:

Allergies - Tell your doctor if you have ever had any unusual or allergic reaction to typhoid vaccine. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes. This vaccine contains sucrose and lactose, and the vaccine bacteria are grown in a mixture containing beef.

Pregnancy - Studies on effects in pregnancy have not been done in either humans or animals. Before taking this medicine, make sure your doctor knows if you are pregnant or if you may become pregnant.

Breast-feeding - It is not known whether typhoid vaccine passes into the breast milk. However, this vaccine has not been reported to cause problems in nursing babies.

Children - Typhoid vaccine is not recommended for infants and children up to 6 years of age. Although there is no specific information comparing use of typhoid vaccine in children 6 years of age and over with use in other age groups, this vaccine is not expected to cause different side effects or problems in these children than it does in adults.

Older adults - Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults. Although there is no specific information comparing use of typhoid vaccine in the elderly with use in other age groups, this vaccine is not expected to cause different side effects or problems in older people than it does in younger adults.

Other medicines - Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking typhoid vaccine, it is especially important that your health care professional know if you are taking any of the following:

• Anti-infectives by mouth or by injection (medicine for infection) or
• Antimalarials (medicine for malaria) - These medicines may reduce the useful effect of the typhoid vaccine

• Treatment with x-rays, cancer medicines, or high doses of steroids - Treatment may increase the action of the vaccine, causing an increase in vaccine side effects, or treatment may block the useful effect of the vaccine

Other medical problems - The presence of other medical problems may affect the use of typhoid vaccine. Make sure you tell your doctor if you have any other medical problems, especially:

• Diarrhea or
• Fever or
• Other illness (severe) or
• Stomach or intestinal illness (severe) or
• Vomiting - The condition may reduce the useful effect of the vaccine

• Immune deficiency condition, including HIV or AIDS - The condition may increase the chance of side effects of the vaccine