Before Using

Drug information provided by: Merative, Micromedex®

In deciding to use a vaccine, the risks of taking the vaccine must be weighed against the good it will do. This is a decision you and your doctor will make. For this vaccine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of smallpox monkeypox vaccine, live non-replicating, in the pediatric population. Safety and efficacy have not been established. However, emergency use of this vaccine can be given in children who are at high risk for monkeypox infection.

Geriatric

Appropriate studies have not been performed on the relationship of age to the effects of smallpox monkeypox vaccine, live non-replicating in the elderly 65 years of age and older. Safety and efficacy have not been established.

Breastfeeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Drug Interactions

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving this vaccine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Receiving this vaccine with any of the following medicines is not recommended. Your doctor may decide not to use this vaccine or change some of the other medicines you take.

  • Deflazacort

Receiving this vaccine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Adalimumab
  • Alemtuzumab
  • Anifrolumab-fnia
  • Bendamustine
  • Betibeglogene Autotemcel
  • Bimekizumab-bkzx
  • Bortezomib
  • Bosutinib
  • Cabazitaxel
  • Canakinumab
  • Capecitabine
  • Carboplatin
  • Carfilzomib
  • Carmustine
  • Chlorambucil
  • Cisplatin
  • Cladribine
  • Clofarabine
  • Cyclophosphamide
  • Cytarabine
  • Cytarabine Liposome
  • Dacarbazine
  • Dasatinib
  • Daunorubicin
  • Daunorubicin Citrate Liposome
  • Daunorubicin Liposome
  • Deucravacitinib
  • Docetaxel
  • Doxorubicin
  • Dupilumab
  • Efgartigimod Alfa-fcab
  • Elivaldogene Autotemcel
  • Epirubicin
  • Etoposide
  • Etrasimod
  • Everolimus
  • Fingolimod
  • Fludarabine
  • Fluorouracil
  • Gemcitabine
  • Gemtuzumab Ozogamicin
  • Hyaluronidase
  • Hydroxyurea
  • Idarubicin
  • Ifosfamide
  • Imatinib
  • Infliximab
  • Interferon Alfa
  • Irinotecan
  • Irinotecan Liposome
  • Ixekizumab
  • Leniolisib
  • Lomustine
  • Lovotibeglogene Autotemcel
  • Mechlorethamine
  • Melphalan
  • Mercaptopurine
  • Methotrexate
  • Mirikizumab-mrkz
  • Mitomycin
  • Mitoxantrone
  • Nelarabine
  • Nilotinib
  • Ofatumumab
  • Oxaliplatin
  • Ozanimod
  • Paclitaxel
  • Paclitaxel Protein-Bound
  • Pemetrexed
  • Pentostatin
  • Ponatinib
  • Ponesimod
  • Procarbazine
  • Ritlecitinib
  • Rituximab
  • Rozanolixizumab-noli
  • Secukinumab
  • Siponimod
  • Spesolimab-sbzo
  • Tacrolimus
  • Temozolomide
  • Teniposide
  • Teplizumab-mzwv
  • Tocilizumab
  • Topotecan
  • Tositumomab
  • Tralokinumab-ldrm
  • Ublituximab-xiiy
  • Upadacitinib
  • Ustekinumab
  • Valoctocogene Roxaparvovec-rvox
  • Vamorolone
  • Vinblastine
  • Vinorelbine
  • Voclosporin

Other Interactions

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of this vaccine. Make sure you tell your doctor if you have any other medical problems, especially:

  • Cancer or
  • HIV infection or
  • Weak immune system—Should not be given in patients with these conditions.