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

PRECAUTIONS: Before your child is given diphtheria and tetanus toxoid vaccine, tell the doctor or pharmacist if your child is allergic to it; or to formaldehyde or latex; or if he/she has any other allergies.This medication should not be used if your child has certain medical conditions. Before using this medicine, consult the doctor or pharmacist if 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 your child receives this medication, tell the doctor or pharmacist 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.This vaccine should not be used in adults or adolescents. If accidentally given during pregnancy, discuss the risks with your doctor.It is not known whether this drug passes into breast milk. If accidentally given while you are breast-feeding, consult your doctor before continuing to breast-feed.

DRUG INTERACTIONS: Your child's doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring him/her for them. Do not start, stop, or change the dosage of any medicine before checking with the doctor or pharmacist first.Before your child receives this medication, tell the doctor or pharmacist of all prescription and nonprescription/herbal products your child may use, especially of: medications that decrease blood clotting (e.g., warfarin, enoxaparin).Before your child receives this medication, tell the doctor or pharmacist of medications your child may use 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 children using any of the medications listed above may still receive diphtheria and tetanus toxoids, the medications may cause these children 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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