Vaccinations and Lupus: An Update of What You Should Know

Vaccinations and Lupus: An Update of What You Should Know

There are many diseases for which there are preventative vaccines available. I want to clarify what shingles is, how the vaccine works, how effective it is, and who should be getting it. Zero vaccinated patients and six unvaccinated patients were hospitalized for shingles during the study. According to the National Vaccine Information Center (NVIC),1 shingles is more common in individuals over age 50, although those who are immunocompromised are also at risk. Shingles can be very painful and uncomfortable. The nerve pain that comes from shingles can last for months or even years after the rash heals. This vaccine will not treat an active infection that has already developed in the body.

That means you don’t actually ‘catch’ shingles – but anyone who’s had chickenpox is at risk of getting it. Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Both of these vaccines are strongly indicated in inflammatory rheumatic diseases due to disease-related increased morbidity and mortality from respiratory infection. Tdap (tetanus, diphtheria and pertussis (whooping cough)) vaccine is routinely given once in adulthood, and is helpful in patients taking immunosuppressive agents. For those with SLE, vaccinations do not commonly make SLE more active. This should be discussed with your doctor. All of these help to alleviate some of the issues associated with the virus but will not make it go away.

He strongly advised against getting vaccinated when there is active nephritis (kidney inflammation). The first sign of shingles is unilateral tingling, itching, or stabbing pain on your skin, on one side of your face or body. It’s already been used in several countries, including the US and Canada, and no safety concerns have been raised. People who suffer from shingles have described their pain in many ways. The booster shot is then given at 4 to 6 years of age, or at least 3 months after the first dose. Of course, money comes into the equation, as it should in these times of increasing cuts in the NHS. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

In most cases, there are suitable killed vaccines that may take the place of live vaccines. Streptococcus pneumonia (pneumococcus) is the leading cause of vaccine-preventable illness and death in the US. Pneumococcal Infections can cause pneumonia, blood infections, meningitis and other respiratory infections. However, this risk does increase in patients who are taking medications which suppress the immune system. Even if you have had shingles, you are recommended to get the vaccine, just wait a year after the virus has ended to be administered the vaccine. Dosage Information: Receive the vaccine when you develop one of the predisposing conditions Receive a second dose 5 years later for some conditions. I strongly advise you to avoid processed, refined honey found at most grocery stores, as it will only worsen your infection – whether consumed or applied topically.

If you receive the vaccine only because you are over 65 years old, you only get one dose. have a blood disorder or any type of cancer that weakens your immune system. Dosage Information: Receive a single dose of this vaccine when you develop one of the predisposing conditions (but not at the same time as the PPSV23 vaccine). The timing of the dose should be discussed with your doctor. Be sure to notify your doctor of any side effects that occur after your child receive this vaccine. It has the capacity to cause a large amount of inflammation of the larynx, trachea and bronchi with mucosal edema. It can damage and weaken the cells lining your respiratory tract, so they will not protect you to the same degree.

This creates greater risk of developing influenza pneumonia and bacterial pneumonia. A person is most likely to be exposed through touching a contaminated surface and then touching one’s nose, eyes or mouth. Sneeze and cough particles can travel up to three feet. An infected person is contagious 24 hours prior to and up to seven days after symptoms of onset of the disease. The chickenpox vaccine is made from live, attenuated varicella virus. A person is most likely to be exposed through touching a contaminated surface and then touching one’s nose, eyes or mouth. allergic reactions which may be serious and may include difficulty in breathing or swallowing ( see also Allergic Reaction below) chicken pox fever hives at the injection site joint pain muscle pain nausea rash rash at the injection site shingles swollen glands near the injection site ( that may last a few days to a few weeks).

One should stay informed about flu season, avoid touching eyes, nose and mouth, and avoid close contact with those who are infected, even if that person is on anti-viral therapy, and should stay home if ill. Lastly, one can get vaccinated! Carefully check the label of any pain, headache, or cold medicine you or your child use to be sure it does not contain aspirin or salicylic acid. This is a routine practice. In patients with Hepatitis B, treatment with biologic agents may increase viral growth, worsening the disease. Therefore, biologic drugs should be avoided until the Hepatitis B is being managed, and only with approval by a specialist in hepatitis. The Herpes Zoster vaccine can help prevent shingles from occurring, but it is not 100% effective.
Vaccinations and Lupus: An Update of What You Should Know

There is an effective non-live vaccine available. It is not so easy for a person with rheumatic disease to protect themselves from shingles because only live vaccines are available. The shingles vaccine costs 200 dollars, and many older Americans – especially those who struggle with fixed incomes and monthly bills – find it prohibitive. Shingles is the reactivation of the chicken pox (varicella) virus and is associated with aging, since the immune system loses some strength with age. Taking immunosuppressive agents increases the risk for shingles as well. Once a person gets chicken pox and recovers from it, the virus continues to stay in the body forever. At some point in life, it might start to remultiply in the nerve presenting itself as a band-like pattern on the body surface.

The use of the Truven Health products is at your sole risk. The shingles vaccine can help prevent shingles from occurring, and, when shingles does occur, it can make it less likely to get the pain syndrome (which is called post-herpetic neuralgia). Also, a person should receive antiviral treatment as soon as shingles is diagnosed, which can reduce the risk of postherpetic neuralgia. As we mature, the value of the vaccine in preventing shingles decreases. There is currently a worldwide epidemic of pertussis. The shingles vaccine prevents about 65% of postherpetic neuralgia cases. Before taking this vaccine, it is essential that you consult your rheumatologist because this is a live vaccine.

Avoid drinking soda, fruit juices, and other sweetened drinks. Screening for a history of chickenpox is not necessary in order to administer the vaccine to a person 50 years of age or older. Those who were born in the United States before 1980 are assumed to have been exposed to chickenpox regardless of their recollection of chickenpox. Zostavax: Contains live attenuated varicella virus in an amount that is approximately 14 times greater than that in regular varicella (Chickenpox) vaccine Approved for persons 50 years and older Administered by an injection under the skin (subcutaneous). For those anticipating receiving an immunosuppressive medication, the Zoster vaccine should be administered at least 14 days before initiation of immunosuppressive therapy, although some experts advise waiting a full month after zoster vaccination to begin immunosuppressive therapy. Diphtheria is a disease that causes a thick coating in the back of the nose or throat, making it difficult to breathe and swallow. It may also attack the heart and nerves.

The Tdap vaccine acts as a defense against whooping cough, tetanus and diphtheria. It is recommended that this vaccine be given once in adulthood. The combination of the two vaccines in adults provides better protection that either of the vaccines alone. Patients are advised not to take this vaccine if they have had a life-threatening allergic reaction after a dose of any tetanus, diphtheria or pertussis-containing vaccines or if they have had a severe allergy to any part of this vaccine. Patients should not take this vaccine if they have had a coma or multiple seizures within 7 days after a childhood dose of DTP or Dtap. I recommend incorporating a wide variety of exercises, such as high-intensity (anaerobic) exercises, core exercises, strength training, and stretching. Brause advises those who have epilepsy, other nervous system problems, or if they have ever had Guillain-Barre Syndrome to check with their doctors before taking this vaccine.

However, these problems are very uncommon. Mycobacterium tuberculosis (TB) can present as active tuberculosis or can be discovered by skin or blood testing to be a latent (inactive) infection. TB is usually a respiratory infection that starts in the lungs and slowly travels into the bloodstream and throughout the whole body. Latent tuberculosis means that a person has the infection, but it is not active – the infection is not visible and the infection is not felt by the infected person. The latent infection is particularly concerning to physicians because the patient is often unaware that they are infected. Those with rheumatic diseases are more susceptible to TB or latent TB reactivations due to biologic agents, DMARDS and steroids that can diminish the immune system’s potency. Screening evaluations for latent or active TB infections should be conducted prior to starting immunosuppressive therapies to reduce the risk of reactivating latent TB..

Other risks include: history of prior exposure to TB, drug addiction, HIV infection, birth or extended living in a region of high TB prevalence, and working or living in high-risk settings for TB such as jails, homeless shelters and drug rehabilitation centers. Before a hip, knee, or other prosthetic joint surgery, Dr. Brause emphasized that a patient with a chronic dermatitis condition should see a dermatologist to make sure any skin conditions (such as psoriasis or eczema) are under optimal control. One way would be to throw away toxic household cleaners, soaps, personal hygiene products, air fresheners, bug sprays, and lawn pesticides and insecticides. All dental needs, such as cleanings or dental procedures, should be addressed prior to the operation as well. The most common types of infections which can be spread to the prosthetic joint through the bloodstream include: skin problems, teeth/gum problems, and urinary tract infections (UTIs). Any bladder procedures also need to be completed before surgery.

If these procedures are not taken care of prior to surgery, an infection could travel through the bloodstream and infect the prosthesis. During surgery, the care team will work to reduce the infection rate as best they can through the use of prophylactic antibiotics and laminar air-flow. Prophylactic administration refers to the act of administering antibiotics prior to surgery in order to prevent infection. Laminar air-flow is a system that filters and cleans the air in the operating room. After surgery, it is essential to visit the dermatologist if you have a chronic dermatitis condition in order to maintain intact skin and keep chronic dermatitis under control. It is also essential to keep teeth/gums healthy and take care of any UTIs promptly. It is recommended that prophylactic antibiotic therapy be taken prior to certain dental and urological procedures for 2 years post-implantation.

In patients with inflammatory arthritis, those who are  receiving immunosuppression treatment, patients with insulin-dependent diabetes, those with  a history of prior prosthetic joint infection, hemophilia or who suffer from malnutrition, it is recommended that prophylactic antibiotic therapy be given prior to certain dental and urological procedures for life. The natural immunity you receive from exposure to chickenpox virus is proof that getting temporary protection against vaccines is no match against letting nature run its disease-preventing course. Dr. Brause concluded his talk by emphasizing the importance of protecting yourself from infectious diseases through vaccinations. Several vaccines can be beneficial and effective for people with rheumatic diseases such as lupus. Before making any decisions, however, it is essential to talk to your rheumatologist to ensure that you receive your vaccinations safely and appropriately.

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