hepatitis-a/hepatitis-b vaccine - injection, Twinrix (cont.)
PRECAUTIONS: Before getting hepatitis A/B vaccine, tell your doctor or pharmacist if you are allergic to it; or to yeast, neomycin, formalin, or other vaccines; or if you have any other allergies. Some vials and prefilled syringes may use latex rubber stoppers or plungers. Tell your doctor if you are allergic to latex.Before using this medication, tell your doctor or pharmacist your medical history, especially of: bleeding problems (e.g., hemophilia, low platelets, anticoagulant treatment), current illness with fever.Some brands of this product may contain a small amount of mercury from a preservative (thimerosal). Consult your doctor for more information.If you are a hemodialysis patient, you may not respond as well to the vaccine and will need to have hepatitis A or B antibody levels checked yearly. If antibodies drop too low over time, you may be given a booster vaccine.If you have decreased immune function from other medications (see also Drug Interactions) or other illness (e.g., HIV, leukemia, lymphoma, other cancer), your body may not make enough antibodies to protect you from hepatitis A or B infection. Antibody levels should be checked after the vaccine series.The elderly may not make as many antibodies to the vaccine and should have their antibody levels checked after the vaccine series.During pregnancy, this medication should be used only when clearly needed. 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: Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for themDo not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of medications that can decrease immune function: corticosteroids (e.g., prednisone), cancer chemotherapy, organ transplant drugs (e.g., cyclosporine, azathioprine).If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting the hepatitis A/B vaccine series.Other vaccines may be given at the same time as hepatitis A/B vaccine, but 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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