Diphtheria Toxoid Tetanus Toxoid Acellular Pertussis Vaccine DTaP Haemophilus influenzae type b Conjugate Vaccine Hepatitis B Vaccine Recombinant Inactivated Poliovirus Vaccine IPV

What is Diphtheria Toxoid Tetanus Toxoid Acellular Pertussis Vaccine DTaP Haemophilus influenzae type b Conjugate Vaccine Hepatitis B Vaccine Recombinant Inactivated Poliovirus Vaccine IPV

Diphtheria Toxoid Tetanus Toxoid Acellular Pertussis Vaccine DTaP Haemophilus influenzae type b Conjugate Vaccine Hepatitis B Vaccine Recombinant Inactivated Poliovirus Vaccine IPV (Vaxelis) is a combination vaccine used for immunization against diphtheria, tetanus, pertussis, Haemophilus influenzae type b, hepatitis B, and polio.

It is indicated as a 3-dose series for infants and children 6 weeks through 4 years of age.

The administration of combination vaccines such as Vaxelis is believed to reduce cost and improve compliance with the recommended vaccination schedule by reducing the number of injections received per physician visit.

The pertussis antigens in Vaxelis are the same as those found in Pentacel, Quadracel, and Daptacel; therefore, these products are recommended to complete the primary and pertussis vaccination series in patients who receive the 3-dose series with Vaxelis.

In 1997, adverse reactions associated with the use of whole-cell pertussis vaccines (DTP) led to recommendations by the Advisory Committee on Immunization Practices (ACIP) that acellular pertussis vaccines (DTaP) be used for routine childhood vaccination in the United States.

In 2000, the ACIP recommended that IPV be used for routine childhood polio vaccination in the United States instead of oral poliovirus vaccine (OPV), prompted in part by the rare but serious side-effect of OPV-associated paralytic poliomyelitis.

Vaxelis is FDA-approved for use in infants as young as 6 weeks; ideally, administration should occur at 2, 4, and 6 months of age.

Indications

  1. diphtheria prophylaxis
  2. Haemophilus influenzae type b prophylaxis
  3. hepatitis B prophylaxis
  4. pertussis prophylaxis
  5. poliovirus prophylaxis
  6. tetanus prophylaxis

Contraindications

  1. agammaglobulinemia
  2. albumin hypersensitivity
  3. anticoagulant therapy
  4. bleeding
  5. breast-feeding
  6. chemotherapy
  7. coagulopathy
  8. coma
  9. encephalopathy
  10. fever
  11. Guillain-Barre syndrome
  12. hemophilia
  13. human immunodeficiency virus (HIV) infection
  14. hypogammaglobulinemia
  15. immunosuppression
  16. infection
  17. intravenous administration
  18. laboratory test interference
  19. neomycin hypersensitivity
  20. neoplastic disease
  21. neurological disease
  22. polymyxin hypersensitivity
  23. polysorbate 80 hypersensitivity
  24. pregnancy
  25. premature neonates
  26. radiation therapy
  27. seizure disorder
  28. seizures
  29. severe combined immunodeficiency (SCID)
  30. shock
  31. subcutaneous administration
  32. thrombocytopenia
  33. vitamin K deficiency
  34. yeast hypersensitivity

Interactions

No information is available regarding drug interactions

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