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. Author manuscript; available in PMC: 2021 Jan 22.
Published in final edited form as: Digestion. 2020 Jan 22;101(Suppl 1):58–68. doi: 10.1159/000503253

Table 1.

Time interval between cessation or pausing of an immunosuppressive agent and live vaccination (modified from Ref [81])

Medication Time interval
Corticosteroids
  • Systemic: only short term (<2 weeks) or low dose (<20mg/d of prednisone or equivalent (adult) or <2mg/kg/day (children))

  • Maintenance physiologic doses (replacement therapy)

  • Non-systemic glucocorticoids (topical or injections)

Balsalazide
Budenoside (≤ 6mg/day)
Mesalazine
Olsalazine
Sulfasalazine
Vedolizumab
No time lag needed
Corticosteroids
  • Systemic and high dose (≥20mg per day of prednisone or equivalent (adult) or ≥2mg/kg/day (children)) and ≥ 2 weeks

1 month
Ciclosporine A
Cyclophosphamide
Mycophenolate
Tacrolimus
3 months
Azathioprine
Methotrexate
6-Mercaptopurine
6-Thioguanine
3 months
Adalimumab
Certolizumab
Golimumab
Infliximab
Ustekinumab
3 months
Leflunomide 6 months