People living with autoimmune conditions, lupus, rheumatoid arthritis, inflammatory bowel disease, MS, psoriasis, often take medications that dampen immune function. That’s the point of those medications, and it has two consequences for vaccination: certain vaccines work less well, and live vaccines are usually avoided.
What’s usually more recommended
- Annual influenza vaccination.
- Pneumococcal vaccination, often funded under the NIP for people with specified immunocompromise.
- COVID-19 boosters per ATAGI advice.
- Shingles vaccination, the recombinant non-live formulation is often preferred and may be NIP-funded.
What’s usually avoided
Live attenuated vaccines, MMR, varicella, yellow fever, BCG, are usually contraindicated while on significant immunosuppression. Where a live vaccine is needed (yellow fever for travel, for example), specialist input is required and timing around medication changes matters.
Coordinate with your specialist
Many biologics and DMARDs have specific timing windows. Your rheumatologist, gastroenterologist or oncologist will often have a preferred sequence, vaccinate before starting therapy where possible, or in “wash-out” periods. Bring your medication list and specialist correspondence to the consult.
For household contacts
Live vaccines you can’t safely have, like MMR, are still important for the people who live with you. Their vaccination protects you.
Sources & further reading
General information only. This article is educational and is not a substitute for personal medical advice. Your immuniser will confirm eligibility and contraindications on the day.
TGA advertising compliance. Vaccines are referred to by disease or category in line with the Therapeutic Goods Advertising Code. Specific brands and registered indications are discussed at the consultation.