{"id":2236,"date":"2025-11-26T15:12:46","date_gmt":"2025-11-26T13:12:46","guid":{"rendered":"https:\/\/resemedicin.se\/svarigar\/?p=2236"},"modified":"2025-11-26T15:12:47","modified_gmt":"2025-11-26T13:12:47","slug":"2025-11-25-vaccination-under-immunsuppresiv-behandling","status":"publish","type":"post","link":"https:\/\/resemedicin.se\/svarigar\/2025-11-25-vaccination-under-immunsuppresiv-behandling\/","title":{"rendered":"2025-11-25 Vaccination under immunsuppresiv behandling"},"content":{"rendered":"\n<p><strong>Fr\u00e5ga:<\/strong> Har flera kunder som st\u00e5r p\u00e5 Prednisolon och Methotrexate . De vill vaccinera sig mot hepatit A och B + b\u00e4ltros. B\u00e5da \u00e4r avd\u00f6dade vacciner. Hur ska jag t\u00e4nka f\u00f6r att f\u00e5 b\u00e4sta effekt av vaccinet. Ska jag ge en extrados?\u00a0<\/p>\n\n\n\n<p><strong>Svar:<\/strong> Prednisolon och metotrexat p\u00e5verkar immunsvaret men \u00e4r inget hinder f\u00f6r att ge Hepatit A, Hepatit B eller Shingrix eftersom alla \u00e4r icke-levande vacciner. F\u00f6r Hepatit A r\u00e4cker vanligtvis ordinarie schema \u00e4ven vid immunsuppression. F\u00f6r Hepatit B \u00e4r svaret ofta s\u00e4mre, och h\u00e4r \u00e4r det klokt att anv\u00e4nda ett fyradosschema (0\u20131\u20132\u20136 m\u00e5nader) och sedan kontrollera anti-HBs f\u00f6r att se om extra dos beh\u00f6vs. Shingrix ges som tv\u00e5 doser enligt standard och har visat god effekt \u00e4ven hos immunsupprimerade, \u00e4ven om skyddet kan vara n\u00e5got l\u00e4gre. Det viktigaste \u00e4r att vaccinera n\u00e4r niv\u00e5erna av immunsupprimerande l\u00e4kemedel  \u00e4r s\u00e5 l\u00e5g och stabil som m\u00f6jligt, men man beh\u00f6ver inte avst\u00e5 om behandlingen \u00e4r kronisk.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fr\u00e5ga: Har flera kunder som st\u00e5r p\u00e5 Prednisolon och Methotrexate . De vill vaccinera sig mot hepatit A och B + b\u00e4ltros. B\u00e5da \u00e4r avd\u00f6dade vacciner. Hur ska jag t\u00e4nka f\u00f6r att f\u00e5 b\u00e4sta effekt av vaccinet. Ska jag ge en extrados?\u00a0 Svar: Prednisolon och metotrexat p\u00e5verkar immunsvaret men \u00e4r inget hinder f\u00f6r att ge &hellip; <a href=\"https:\/\/resemedicin.se\/svarigar\/2025-11-25-vaccination-under-immunsuppresiv-behandling\/\" class=\"more-link\">Forts\u00e4tt l\u00e4sa<span class=\"screen-reader-text\"> \u201d2025-11-25 Vaccination under immunsuppresiv behandling\u201d<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2236","post","type-post","status-publish","format-standard","hentry","category-svar-igar"],"modified_by":"Karl Ekdahl","jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/posts\/2236","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/comments?post=2236"}],"version-history":[{"count":1,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/posts\/2236\/revisions"}],"predecessor-version":[{"id":2237,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/posts\/2236\/revisions\/2237"}],"wp:attachment":[{"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/media?parent=2236"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/categories?post=2236"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/tags?post=2236"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}