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Adult Dosing .
Dosage forms: INJ
influenza disease prevention
- [0.5 mL IM x1 annually]
- Info: search 'immunization' for epocrates Influenza Vaccination and Adult Immunization decision tools including links to CDC/ACIP schedules and recommendations
renal dosing
- [no adjustment]
- renal impairment: no adjustment
- HD/PD: no adjustment; no supplement
hepatic dosing
- [no adjustment]
Peds Dosing .
- Dosage forms: INJ
influenza disease prevention
- [6 mo-8 yo]
- Dose: 0.5 mL IM x1 annually; Info: give 2nd dose >4wk after 1st dose if not previously vaccinated, vaccination history unknown, or if <2 doses given prior to the July before current influenza season; search 'immunization' for epocrates Influenza Vaccination and Child/Adolescent Immunization decision tools including links to CDC/ACIP schedules and recommendations
- [9 yo and older]
- Dose: 0.5 mL IM x1 annually; Info: search 'immunization' for epocrates Influenza Vaccination and Child/Adolescent Immunization decision tools including links to CDC/ACIP schedules and recommendations
renal dosing
- [no adjustment]
- renal impairment: no adjustment
- HD/PD: no adjustment; no supplement
hepatic dosing
- [no adjustment]
Contraindications / Cautions .
- hypersensitivity to drug or ingredient, severe
- hypersensitivity to other influenza vaccines, severe
- caution: Guillain-Barre syndrome within 6wk after prior influenza vaccine use
- caution: immunocompromised patients
- caution: illness, acute moderate-severe
Drug Interactions .
Overview
influenza vaccine
vaccine
- non-live vaccine
Avoid/Use Alternative
- interferon gamma 1b
Monitor/Modify Tx
- abatacept
- abemaciclib
- abrocitinib
- acalabrutinib
- adalimumab
- ado-trastuzumab emtansine
- afamitresgene autoleucel
- aldesleukin
- alemtuzumab
- amivantamab
- anakinra
- anifrolumab
- anti-thymocyte globulin
- asciminib
- atezolizumab
- atidarsagene autotemcel
- avelumab
- avutometinib
- axicabtagene ciloleucel
- azacitidine
- azathioprine
- baricitinib
- basiliximab
- belantamab mafodotin
- belatacept
- belimumab
- belinostat
- belzutifan
- bendamustine
- betamethasone
- bimekizumab
- blinatumomab
- bortezomib
- brentuximab vedotin
- brexucabtagene autoleucel
- brodalumab
- budesonide
- budesonide rectal
- busulfan
- cabazitaxel
- canakinumab
- capecitabine
- capmatinib
- carboplatin
- carfilzomib
- carmustine
- cemiplimab
- certolizumab pegol
- chlorambucil
- ciltacabtagene autoleucel
- cisplatin
- cladribine injection
- cladribine oral
- clofarabine
- copanlisib
- corticotropin
- cortisone
- cosibelimab
- cyclophosphamide
- cyclosporine
- cytarabine
- dactinomycin
- daratumumab
- dasatinib
- daunorubicin
- decitabine
- defactinib
- deflazacort
- delgocitinib topical
- deucravacitinib
- deuruxolitinib
- dexamethasone
- dimethyl fumarate
- dinutuximab
- diroximel fumarate
- docetaxel
- dordaviprone
- dostarlimab
- doxorubicin
- dupilumab
- durvalumab
- duvelisib
- efgartigimod alfa
- elivaldogene autotemcel
- elotuzumab
- elranatamab
- emapalumab
- epcoritamab
- epirubicin
- erdafitinib
- eribulin
- etanercept
- etoposide
- etrasimod
- etuvetidigene autotemcel
- everolimus
- fam-trastuzumab deruxtecan
- fingolimod
- floxuridine
- fludarabine
- fludrocortisone
- fluorouracil
- fruquintinib
- futibatinib
- gemcitabine
- gemtuzumab ozogamicin
- glofitamab
- golimumab
- guselkumab
- hydrocortisone
- hydroxyurea
- ibritumomab tiuxetan
- ibrutinib
- icotrokinra
- idarubicin
- idecabtagene vicleucel
- idelalisib
- ifosfamide
- imatinib
- inebilizumab
- infliximab
- inotuzumab ozogamicin
- ipilimumab
- irinotecan
- isatuximab
- ixabepilone
- ixekizumab
- lazertinib
- lebrikizumab
- leflunomide
- lenalidomide
- linvoseltamab
- lisocabtagene maraleucel
- lomustine
- loncastuximab tesirine
- lurbinectedin
- lymphocyte immune globulin, anti-thymocyte globulin
- margetuximab
- melphalan
- mercaptopurine
- methotrexate
- methylprednisolone
- mirikizumab
- mitomycin
- mitoxantrone
- mogamulizumab
- momelotinib
- monomethyl fumarate
- mosunetuzumab
- mycophenolate mofetil
- mycophenolic acid
- natalizumab
- nelarabine
- nemolizumab
- nilotinib
- nipocalimab
- nivolumab
- obecabtagene autoleucel
- obinutuzumab
- ocrelizumab
- ofatumumab
- olaparib
- oxaliplatin
- ozanimod
- paclitaxel
- palbociclib
- peginterferon alfa 2a
- pembrolizumab
- pemetrexed
- penpulimab
- pentostatin
- pertuzumab
- pirtobrutinib
- polatuzumab vedotin
- pomalidomide
- ponatinib
- ponesimod
- prednisolone
- prednisone
- procarbazine
- regorafenib
- retifanlimab
- revumenib
- rilonacept
- rilzabrutinib
- ripretinib
- risankizumab
- ritlecitinib
- rituximab
- romidepsin
- ropeginterferon alfa-2b
- rozanolixizumab
- rucaparib
- ruxolitinib
- sarilumab
- satralizumab
- secukinumab
- selinexor
- selumetinib
- sevabertinib
- sibeprenlimab
- siltuximab
- siponimod
- sirolimus
- sirolimus albumin-bound
- sirolimus topical
- sorafenib
- spesolimab
- sunitinib
- sunvozertinib
- tacrolimus
- tafasitamab
- taletrectinib
- talquetamab
- tarlatamab
- teclistamab
- telisotuzumab vedotin
- temozolomide
- temsirolimus
- teplizumab
- teriflunomide
- thioguanine
- thiotepa
- tildrakizumab
- tisagenlecleucel
- tislelizumab
- tocilizumab
- tofacitinib
- topotecan
- toripalimab
- trabectedin
- tralokinumab
- trastuzumab
- tremelimumab
- triamcinolone
- ublituximab
- upadacitinib
- ustekinumab
- vamorolone
- vandetanib
- vedolizumab
- venetoclax
- vinblastine
- vincristine
- vinorelbine
- voclosporin
- zanidatamab
- zanubrutinib
- zenocutuzumab
- ziftomenib
- zongertinib
Adverse Reactions .
Serious Reactions
- hypersensitivity reaction
- anaphylaxis
- Guillain-Barre syndrome
- neurologic disorders
- vasculitis
- febrile seizures (pts <5 yo)
Common Reactions
- injection site reaction
- arthralgia
- myalgia
- irritability (peds patients)
- fatigue
- headache
- drowsiness (peds patients)
- appetite decr. (peds patients)
- fever
- malaise
- nausea
- vomiting
- diarrhea
- abdominal pain
- shivering
Safety/Monitoring .
Monitoring Parameters
no routine tests recommended
Look/Sound-Alike Drug Names
influenza virus vaccines confused with: flumazenil
Pregnancy/Lactation .
Pregnancy
Clinical Summary
may use during pregnancy; no known risk of fetal harm based on human data with influenza vaccines
Lactation
Clinical Summary
may use while breastfeeding; no known risk of infant harm based on human data with influenza vaccines; no human data available to assess effects on milk production
Pharmacology .
Metabolism: for influenza vaccine: other; CYP450: unknown
Excretion: for influenza vaccine: other; Half-life: unknown
Subclass: Influenza (Flu) Vaccines ; Routine Adult Vaccines ; Routine Pediatric Vaccines
Mechanism of Action
for influenza vaccine: exact mechanism of action unknown; induces antibody formation
Formulary .
No Formulary Selected
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