Prevnar

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Prevnar, |Prevnar

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Prevnar

Generic Name: pneumococcal conjugate vaccine (PCV-pediatric only), 7-valent (new mo KOK al KON joo gate VAX een 7-VAY lent)
Brand Names: Prevnar

What is pneumococcal conjugate vaccine (PCV)?

Pneumococcal disease is a serious infection caused by a bacteria. Pneumococcal bacteria can infect the sinuses and inner ear. It can also infect the lungs, blood, and brain, and these conditions can be fatal.

Pneumococcal conjugate vaccine (PCV) is used to prevent infection caused by pneumococcal bacteria. PCV contains 7 different types of pneumococcal bacteria.

PCV works by exposing your child to a small dose of the bacteria or a protein from the bacteria, which causes the body to develop immunity to the disease. PCV will not treat an active infection that has already developed in the body.

PCV is for use only in children between the ages of 6 weeks and 10 years. For adults and children who are 2 years of age and older, another vaccine called Pneumovax (pneumococcal polysaccharides vaccine [PPV] 23-valent) is used.

Developing pneumococcal disease (such as pneumonia or meningitis) is much more dangerous to your child"s health than receiving this vaccine. However, like any medicine, this vaccine can cause side effects. The risk of serious side effects is extremely low.

Like any vaccine, PCV may not provide protection from disease in every person.

What is the most important information I should know about pneumococcal conjugate vaccine (PCV)?

Keep track of any and all side effects your child has after receiving this vaccine. If the child ever has to receive another pneumococcal vaccine in the future, you will need to tell the doctor if the first shot caused any side effects.

Your child can still receive a vaccine if he or she has a minor cold. However, if your child is moderately or severely ill with a fever or any type of infection, wait until the child recovers before receiving this vaccine.

Developing pneumococcal disease (such as pneumonia or meningitis) is much more dangerous to your child"s health than receiving this vaccine. However, like any medicine, this vaccine can cause side effects. The risk of serious side effects is extremely low.

PCV can be given at the same time as other vaccinations.

Be sure to keep your child on a regular schedule for other immunizations against diseases such as diphtheria, tetanus, pertussis (whooping cough), measles, mumps, hepatitis, or varicella (chicken pox). Your doctor or state health department can provide you with a recommended immunization schedule.

What should I discuss with my healthcare provider before receiving pneumococcal conjugate vaccine (PCV)?

Keep track of any and all side effects your child has after receiving this vaccine. If the child ever has to receive another pneumococcal vaccine in the future, you will need to tell the doctor if the first shot caused any side effects. Your child should not receive this vaccine if he or she has ever had an allergic reaction to a pneumococcal vaccine.

Before receiving PCV, tell your doctor if your child is allergic to any drugs, or if the child has:

  • easy bruising or bleeding, unusual weakness;

  • a bleeding or blood clotting disorder;

  • any condition that weakens the immune system (such as HIV, AIDS, or cancer);

  • an allergy to latex rubber; or

  • if the child is receiving chemotherapy or radiation treatments.

If your child has any of these conditions, he or she may not be able to receive PCV, or may need a schedule adjustment or special tests.

How is pneumococcal conjugate vaccine (PCV) given?

PCV is given as an injection into a muscle of the arm or thigh. A doctor, nurse, or other healthcare provider will give your child this injection.

Your child can still receive a vaccine if he or she has a minor cold. However, if your child is moderately or severely ill with a fever or any type of infection, wait until the child recovers before receiving this vaccine.

The usual schedule is for PCV to be given in 4 separate injections. The first 3 injections are usually given when the child is 2, 4, and 6 months of age. The fourth injection is given between the ages of 12 and 15 months.

The first PCV injection should be given no earlier than 6 weeks of age. Allow at least 2 months to pass between injections.

The timing of this vaccination is very important for it to be effective. Follow your doctor"s instructions.

If your child is already 6 months or older, he or she can still receive this vaccine on the following schedule:

  • Age 7-11 months: two injections at least 4 weeks apart, followed by a third injection after the child turns 1 year (at least 2 months after the second injection);

  • Age 12-23 months: two injections at least 2 months apart;

  • Age 2-9 years: one injection.

Your doctor may recommend giving your child an aspirin-free pain reliever to prevent pain or fever that can occur with this vaccination. Over-the-counter pain relievers include acetaminophen (Tylenol, Tempra, Panadol, and others) or ibuprofen (Motrin Childrens, Advil Childrens, and others). Use this medication when the shot is given and for the next 24 hours, unless your child"s doctor tells you otherwise. Use only the dose the doctor recommends.

Be sure to keep your child on a regular schedule for other immunizations such as diphtheria, tetanus, pertussis (whooping cough), hepatitis, and varicella (chicken pox). Your doctor or state health department can provide you with a recommended immunization schedule.

What happens if I miss a dose?

Since PCV is usually given only one time, you will most likely not be on a dosing schedule. If you are receiving a repeat PCV shot, be sure to tell your doctor if it has been less than 5 years since you last received a pneumococcal vaccine.

What happens if I overdose?

An overdose of PCV is not likely to occur if the shots are given on the proper schedule.

What should I avoid before or after getting pneumococcal conjugate vaccine (PCV)?

Avoid receiving this vaccine while you are undergoing chemotherapy or radiation treatments. You may need to wait until it has been several months after you have completed your treatments. Follow your doctor"s instructions.

Pneumococcal conjugate vaccine (PCV) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:
  • high fever (103 degrees or higher);

  • seizure (convulsions);

  • easy bruising or bleeding; or

  • severe pain, itching, irritation, or skin changes where the shot was given.

Less serious side effects are more likely to occur, such as:
  • mild soreness, redness, swelling, or a hard lump where the shot was given;

  • weakness, tired feeling;

  • crying, fussiness;

  • drowsiness, restless sleep;

  • low fever (102 degrees or less);

  • vomiting, diarrhea, loss of appetite; or

  • mild skin rash.

Side effects other than those listed here may also occur. Contact your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect pneumococcal conjugate vaccine (PCV)?

PCV can be given at the same time as other vaccinations.

Talk to your doctor before receiving PCV if you are using any of the following medications that may affect the immune system:

  • azathioprine (Imuran);

  • basiliximab (Simulect);

  • cyclosporine (Sandimmune, Neoral, Gengraf);

  • etanercept (Enbrel);

  • leflunomide (Arava);

  • muromonab-CD3 (Orthoclone);

  • mycophenolate mofetil (CellCept);

  • sirolimus (Rapamune);

  • tacrolimus (Prograf);

  • a blood thinner such as warfarin (Coumadin);

  • chemotherapy or radiation treatment for cancer;

  • a steroid medicine such as betamethasone (Celestone), cortisone (Cortone), dexamethasone (Decadron, Dexone), hydrocortisone (Cortef, Hydrocortone), methylprednisolone (Medrol), prednisolone (Prelone, Pediapred), prednisone (Orasone, Deltasone), triamcinolone (Aristocort), and others; or

  • an inhaled or nasal steroid such as beclomethasone (Qvar, Beclovent, Beconase, Vanceril, Vancenase), budesonide (Pulmicort, Rhinocort), flunisolide (Aerobid, Nasalide, Nasarel), fluticasone (Flovent, Flonase), mometasone (Nasonex), or triamcinolone (Azmacort, Nasacort).

If you are using any of these drugs, you may not be able to receive PCV or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect PCV. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

  • Your doctor or pharmacist may have additional information about pneumococcal polysaccharides vaccine. You may also find additional information from your local health department or the Centers for Disease Control and Prevention.

  • Remember, keep this and all other medicines out of the reach of children, never share medicines with others, and use this medication only for the indication prescribed.
  • Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ("Multum") is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum"s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum"s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Copyright 1996-2006 Cerner Multum, Inc. Version: 1.02. Revision Date: 9/27/06 3:44:33 PM.



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