DMARD live vaccines — GPhC CRA MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: B — Withhold yellow-fever vaccine and give hepatitis A vaccine now
The adalimumab SmPC permits concurrent vaccination except for live vaccines. Yellow-fever vaccine is live, so specialist travel and treating-team advice is required about timing, destination risk or a waiver/alternative plan. Hepatitis A vaccine is inactivated and may generally be administered, although immune response can be reduced. Route of administration does not remove the live-vaccine risk.
Reference: Humira Summary of Product Characteristics: https://www.medicines.org.uk/emc/product/9678/smpc