Table 6.
Vaccine | Before initiation of immunosuppressive therapy | Already on immunosuppressive therapy |
MMR | Contraindicated if plans to start therapy in 6 wk | Contraindicated |
Zoster | Contraindicated if plans to start therapy in 1-3 mo | Contraindicated-could consider if: |
On short-term corticosteroids (< 14 d) | ||
On Methotrexate (< 0.4 mg/kg per week) | ||
On Azathioprine (< 3.0 mg/kg per day) | ||
On 6-mercaptopurine (< 1.5 mg/kg per day) | ||
Varicella | Contraindicated if plans to start therapy in 1-3 mo | Contraindicated |
MMR: Measles, mumps, rubella.