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Measles and Rubella Vaccines, Combined
Pronunciation
U.S. Brand Names
Generic Available
Synonyms
Pharmacological Index
Use
Pregnancy Risk Factor
Contraindications
Warnings/Precautions
Adverse Reactions
Drug Interactions
Stability
Mechanism of Action
Usual Dosage
Administration
Test Interactions
Dental Health: Local Anesthetic/Vasoconstrictor Precautions
Dental Health: Effects on Dental Treatment
Patient Information
Nursing Implications
Dosage Forms
References

Pronunciation
(MEE zels & roo BEL a vak SEENS, kom BINED)

U.S. Brand Names
M-R-VAX® II

Generic Available

No


Synonyms
Rubella and Measles Vaccines, Combined

Pharmacological Index

Vaccine, Live Virus


Use

Simultaneous immunization against measles and rubella


Pregnancy Risk Factor

C


Contraindications

Immune deficiency condition, pregnancy


Warnings/Precautions

Immunocompromised persons, history of anaphylactic reaction following receipt of neomycin


Adverse Reactions

All serious adverse reactions must be reported to the U.S. Department of Health and Human Services (DHHS) Vaccine Adverse Event Reporting System (VAERS) 1-800-822-7967.

Cardiovascular: Edema

Central nervous system: Fever (<100°F)

Local: Burning or stinging, induration

1% to 10%:

Central nervous system: Fever between 100°F and 103°F usually between 5th and 12th days postvaccination

Dermatologic: Rash (rarely generalized)

<1%: Fatigue, convulsions, encephalitis, confusion, severe headache, fever (>103°F - prolonged), palsies, Guillain-Barré syndrome, ataxia, urticaria, itching, reddening of skin (especially around ears and eyes), erythema multiforme, vomiting, sore throat, diarrhea, thrombocytopenic purpura, diplopia, stiff neck, dyspnea, cough, rhinitis, lymphadenopathy, coryza, allergic reactions


Drug Interactions

Whole blood, interferon immune globulin, radiation therapy, and immunosuppressive drugs (eg, corticosteroids) may result in insufficient response to immunization. DTP, OPV, MMR, Hib, and hepatitis B may be given concurrently; other virus vaccine administration should be separated by greater than or equal to 1 month from measles.


Stability

Refrigerate prior to use, use as soon as possible; discard if not used within 8 hours of reconstitution


Mechanism of Action

Promotes active immunity to measles and rubella by inducing specific antibodies including measles-specific IgG and IgM and rubella hemagglutination-inhibiting antibodies.


Usual Dosage

Children at 15 months and Adults: S.C.: Inject 0.5 mL into outer aspect of upper arm; no routine booster for rubella


Administration

Not for I.V. administration


Test Interactions

May temporarily depress tuberculin skin test sensitivity and reduce the seroconversion.


Dental Health: Local Anesthetic/Vasoconstrictor Precautions

No information available to require special precautions


Dental Health: Effects on Dental Treatment

No effects or complications reported


Patient Information

Parents should monitor children closely for fever 5-11 days after vaccination; females should not become pregnant within 3 months of vaccination


Nursing Implications

Federal law requires that the date of administration, the vaccine manufacturer, lot number of vaccine, and the administering person's name, title and address be entered into the patient's permanent medical record


Dosage Forms

Injection: 1000 TCID50 each of live attenuated measles virus vaccine and live rubella virus vaccine


References

Gardner P and Schaffner W, "Immunization of Adults," N Engl J Med, 1993, 328(17):1252-8.


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