HomeAnswersPulmonology (Asthma Doctors)pneumococcal vaccineDo inhaled steroids nullify the effect of the Pneumovax 23 vaccine against pneumonia?

Can I get the Pneumovax 23 vaccine while on Symbicort Turbuhaler?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At June 18, 2021
Reviewed AtJuly 14, 2023

Patient's Query

Hi doctor,

I am a 51-year-old male and have chronic asthma. I am on Symbicort Turbuhaler 160/4.5 mcg (Budesonide and Formoterol) and Asthavent as a rescue medication. I would like to have your opinion on getting the Pneumovax 23 vaccine with this kind of therapy. I am afraid it will not create proper protecting antibodies because I am on the treatment mentioned above. However, since there is a higher risk of getting pneumonia with the above medication, I was thinking of getting the Pneumovax 23 to protect myself. However, it seems to be a catch-22 because one needs protection against pneumonia, but the therapy appears to be working against the vaccine. What do you think?

Hi,

Welcome to icliniq.com. Thank you for the query. I can understand your concern. According to your statement, you are a known case of chronic asthma. You are on Symbicort Turbuhaler. Symbicort Turbuhaler is the proper medication for your chronic asthma. As this medication contains steroids like Budesonide, it can impair someone's body immunity and make them prone to opportunistic infections like oral candidiasis or pneumonia. In a three-year clinical trial with Budesonide in COPD or chronic obstructive pulmonary disease patients, pneumonia can occur at a frequency of 6% compared with 3% in the placebo group. It indicates only six people may develop pneumonia among the 100 people who have been treated with steroid medications like Budesonide. The pneumococcal polysaccharide vaccine known as Pneumovax 23 vaccine covers 23 different variants of the pneumococcal bacteria. So, it will protect against the most common type of pneumonia called pneumococcal pneumonia caused by pneumococcal bacteria. Patients with underlying chronic diseases like chronic asthma or COPD should be revaccinated every five years. So, one Pneumovax 23 shot will provide you protection for five years against the most common type of pneumonia known as pneumococcal pneumonia. Though steroids may reduce body immunity and may develop opportunistic infections like oral candidiasis or pneumonia, you should continue your current steroid inhaler as a reliever for chronic asthma. Take care. In case of any other query, ask me.

Patient's Query

Hi doctor,

Thanks for the reply. But should I stop the medication for a while to allow the Pneumovax to create protection or antibodies? If so, for how long after the vaccine?

Hi,

Welcome back to icliniq.com. Thanks for joining again. Yes, you should stop your steroid inhaler before and after taking the Pneumovax shot to give it some time to work or to create antibodies against pneumococcal infections. Before taking the Pneumovax shot, you should inform your doctor that you are a long-term user of a steroid inhaler. He will advise you to stop using the steroid inhaler for few days, like 14 days before taking this Pneumovax shot. Again, after taking the Pneumovax shot, he will advise you to stop using the steroid inhaler for additional few days, like 14 days, to provide enough time to produce antibodies against pneumococcal infections. As steroid medications can interfere with the full effectiveness of a Pneumovax shot, your doctor can stop your steroid inhaler for few days before and after getting the Pneumovax shot. I hope I have answered your question. Take care. Let me know if I can assist you further.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zubayer Alam
Dr. Muhammad Zubayer Alam

Pulmonology (Asthma Doctors)

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