diphtheria and tetanus toxoids combined (adult) - injection (cont.)

PRECAUTIONS: Before receiving diphtheria and tetanus toxoids (adult) vaccine, tell your doctor or pharmacist if you are allergic to it; or to any other vaccines; or if you have any other allergies.This medication should not be used in people with certain medical conditions. Before using this medicine, consult the doctor or pharmacist if you or your child has: a previous brain/nerve (neurological) reaction to this vaccine, illness with a high fever over 101 degrees F (38 degrees C).Before receiving this vaccine, tell the doctor or pharmacist your or your child's medical history, especially of: blood clotting problems (e.g., hemophilia), low blood clotting cells (platelets), weakened immune system (e.g., due to leukemia, lymphoma, other cancer affecting the bone marrow or lymph nodes), other immune problems, low or abnormal blood antibodies (hypogammaglobulinemia, dysgammaglobulinemia), seizures due to fever.Some brands of this product may contain a small amount of mercury from a preservative (thimerosal). Consult your doctor for more information.During pregnancy, this vaccine should be used only when clearly needed. It may be given during pregnancy in certain situations before giving birth. Discuss the risks and benefits with your doctor.It is not known whether this drug passes into breast milk. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: The doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring for them. Do not start, stop, or change the dosage of any medicine before checking with the doctor or pharmacist first.Before you or your child receives this medication, tell the doctor or pharmacist of all prescription and nonprescription/herbal products used, especially of: medications that decrease blood clotting (e.g., warfarin, enoxaparin).Before receiving this vaccine, tell the doctor or pharmacist of the use of medications that weaken the immune system such as: corticosteroids (e.g., prednisone doses greater than 7.5 milligrams a day), cancer chemotherapy, organ transplant drugs (e.g., cyclosporine, tacrolimus, mycophenolate), drugs used for immune system diseases (e.g., abatacept, adalimumab, alemtuzumab, anakinra, efalizumab, etanercept, infliximab).Although people using any of the medications listed above may still receive diphtheria and tetanus toxoids, the medications may cause these people to be only partially protected from the diseases. Consult the doctor for more information.Other vaccines may be given at the same time as this vaccine, but they should be given with separate syringes and at different injection sites.This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

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