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Can Zostavax Vaccine And Flonase Be Taken Together?

Posted on Thu, 15 May 2014

Question: I gave a patient Zostavax vaccine today and I am worried that it may interact with Flonase he uses for seasonal allergies. Should I be concerned, or Flonase not considered a systemic steroid?

Answered by Dr. Shafi Ullah Khan (1 hour later)

Brief Answer:
All clear

Detailed Answer:
Thank you for asking!
Zoster vaccine and flonase has nothing to interact with.They are perfectly safe together. So no worries. Usually immunomodulators decrease the immune system and live vaccines might lead to infection despite being attenuated. But nasal fluticasone does not do that. So is true for oral and systemic steroids. But flonase is nasal one and topical no interaction at all and if any at the remotest possibility , not enough to cause trouble. So cheer up and move on.
I hope it helps.Dont forget to close the discussion please.
S Khan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shafi Ullah Khan (2 hours later)

Patient info for Flonase warns that exposure to chicken pox virus could be dangerous to people taking Flonase. Not quite sure why it would say that and if that includes the vaccine?

Answered by Dr. Shafi Ullah Khan (48 minutes later)

Brief Answer:
Virus and its vaccine are different,

Detailed Answer:
Thank you for asking!
Chicken pox virus is a full fledged virus fully competent. And vaccine is attenuated handicapped one just to induce and boost immunity. Flonase is hardly to react to that. So stop worrying. Nothing is going to happen.
TAke care

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar