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What are your vaccine recommendations while patients are on biologics?
Answer from: at Community Practice
Live vaccines are best completed at least a month before initiation of biologics when these are appropriate (e.g., MMR, chickenpox, yellow fever).
The data on non-live vaccines is limited. I personally think that some degree of protection is better than none. I will not interrupt biological therapy...
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Answer from: at Community Practice
Very complicated situation because even though the easy answer is to get the live vaccine first, can we be sure that the live vaccine won’t worsen the autoimmune disease if we hold or stop the biologic? I’m sure each biologic and vaccine interaction is different as well. There are differ...