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This medication is used to help prevent infection (typhoid fever) caused by a certain bacteria (Salmonella typhi). People can get this infection by eating contaminated food or drinking contaminated water. This vaccine is recommended for people older than 6 years who are traveling to areas where typhoid fever is common (such as countries in Central and South America, Africa, Asia), who are exposed to someone with persistent typhoid infection, or who work with the bacteria in a laboratory.
Typhoid vaccine contains live bacteria that have been weakened. It works by causing the body to produce its own protection (antibodies) against the bacteria that cause typhoid fever.
How to use Vivotif Berna Vaccine Oral
Read the Vaccine Information Statement available from your health care provider before taking the vaccine. If you have any questions, consult your health care provider.
Before taking each dose, inspect the foil blister pack to make sure it is completely sealed. Carefully open the blister pack and inspect the capsule to make sure it is not damaged. Consult your pharmacist if the foil blister pack or capsule is damaged.
Take this medication by mouth without food, usually every other day for 4 doses or as directed by your doctor. Swallow the capsule whole with cold or barely warm liquid about 1 hour before a meal. Place the capsule in your mouth and swallow with the liquid immediately. Do not chew, crush, or hold the capsule in your mouth.
Follow the dosing schedule closely for the vaccine to be most effective. To help you remember, mark your calendar to keep track of when to take your next dose. You should complete your course of the vaccine at least 1 week before possible exposure to typhoid fever.
You may need a booster vaccine if you still remain at risk for typhoid fever after 5 years. Ask your doctor or pharmacist for more details.
Nausea may occur. If this effect persists or worsens, tell your doctor or pharmacist promptly.
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
Contact your doctor for medical advice about side effects. The following numbers do not provide medical advice, but in the US, you may report side effects to the Vaccine Adverse Event Reporting System (VAERS) at 1-800-822-7967. In Canada, you may call Health Canada at 1-866-234-2345.
Before taking the typhoid vaccine, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: current fever/illness, current stomach problems (such as persistent diarrhea/vomiting), immune system problems (such as HIV infection), cancer (such as leukemia, lymphoma).
During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.
It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.
The effects of some drugs can change if you take other drugs or herbal products at the same time. This can increase your risk for serious side effects or may cause your medications not to work correctly. These drug interactions are possible, but do not always occur. Your doctor or pharmacist can often prevent or manage interactions by changing how you use your medications or by close monitoring.
To help your doctor and pharmacist give you the best care, be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products) before starting treatment with this product. While using this product, do not start, stop, or change the dosage of any other medicines you are using without your doctor\'s approval.
Some products that may interact with this drug include: antibiotics (such as sulfonamides like sulfamethoxazole), corticosteroids (such as prednisone, dexamethasone), chemotherapy, drugs that weaken the immune system (such as abatacept, efalizumab, temsirolimus, organ transplant drugs like cyclosporine, mycophenolate, sirolimus, tacrolimus), proguanil.
This document does not contain all possible interactions. Keep a list of all the products you use. Share this list with your doctor and pharmacist to lessen your risk for serious medication problems.
If overdose is suspected, contact a poison control center or emergency room immediately. US residents can call the US National Poison Hotline at 1-800-222-1222. Canada residents can call a provincial poison control center.
NOTES:
Do not share this medication with others.
As with any vaccine, this vaccine may not fully protect everyone who receives it. While traveling, you should still take precautions to avoid contact with contaminated food or water (such as by drinking only bottled or boiled water, eating only fully-cooked food). Ask your doctor or pharmacist for more information.
MISSED DOSE:
For the best possible benefit, it is important to take each scheduled dose of this medication as directed. If you miss a dose, contact your doctor or pharmacist immediately to establish a new dosing schedule.
STORAGE:
Store refrigerated between 36-46 degrees F (2-8 degrees C) away from light. Do not freeze. Keep all medicines away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.
Information last revised May 2010. Copyright(c) 2010 First Databank, Inc.
