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Pronunciation |
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(MEE
zels & roo BEL a vak SEENS,
kom BINED) |
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U.S. Brand
Names |
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M-R-VAX®
II |
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Generic
Available |
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No |
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Synonyms |
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Rubella and Measles Vaccines, Combined |
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Pharmacological Index |
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Vaccine, Live Virus |
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Use |
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Simultaneous immunization against measles and rubella |
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Pregnancy Risk
Factor |
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C |
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Contraindications |
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Immune deficiency condition, pregnancy |
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Warnings/Precautions |
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Immunocompromised persons, history of anaphylactic reaction following receipt
of neomycin |
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Adverse
Reactions |
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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
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Drug
Interactions |
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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. |
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Stability |
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Refrigerate prior to use, use as soon as possible; discard if not used within
8 hours of reconstitution |
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Mechanism of
Action |
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Promotes active immunity to measles and rubella by inducing specific
antibodies including measles-specific IgG and IgM and rubella
hemagglutination-inhibiting antibodies. |
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Usual Dosage |
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Children at 15 months and Adults: S.C.: Inject 0.5 mL into outer aspect of
upper arm; no routine booster for rubella |
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Administration |
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Not for I.V. administration |
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Test
Interactions |
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May temporarily depress tuberculin skin test sensitivity and reduce the
seroconversion. |
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Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
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No information available to require special precautions |
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Dental Health:
Effects on Dental Treatment |
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No effects or complications reported |
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Patient
Information |
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Parents should monitor children closely for fever 5-11 days after
vaccination; females should not become pregnant within 3 months of
vaccination |
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Nursing
Implications |
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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 |
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Dosage Forms |
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Injection: 1000 TCID50 each of live attenuated measles virus
vaccine and live rubella virus vaccine |
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References |
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Gardner P and Schaffner W, "Immunization of Adults," N Engl J Med,
1993, 328(17):1252-8. |
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