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2 Royston Pde Asquith 2077
Email: megan@roystonclinic.com
"We Listen"
Phone:0294766307
Fax:0294773591 .
Common Vaccines for Overseas Travelers
Vaccine ( Click on link for more info) Standard regimen Booster Age Adverse effects Notes Hepatitis A Havrix 1.0 mL IM 1.0 mL IM 6 to 12 months after first dose >= 19 years† Injection site soreness, headaches Safety in pregnancy not determined although still uncertain completed 2 Dose series of any hepatitis A vaccine may give life long immunity
Vaqta 1.0 mL IM 1.0 mL IM 6 to 12 months after first dose >= 19 years† Injection site soreness, headaches Hepatitis B HB Vax II 1.0 mL IM at 0, 1, and 6 months , or 2 doses at 0 and 6 months for 11-15 yr olds (Paed dose) A further booster is not routine >= 20 years† Injection site soreness, headaches Safety in pregnancy not determined
Contraindicated in yeast hypersensitivityEngerix-B 1.0 mL IM at 0, 1, and 6 months
(Accelerated schedule: 1.0 mL IM at 0, 1, 2, and 12 months)1.0 mL IM 12 months after first dose >= 20 years† Injection site soreness, headaches Combined hepatitis A and hepatitis B Twinrix 1.0 mL IM at 0, 1, and 6 months Not routine >= 18 years Injection site soreness, headaches, nausea Safety in pregnancy not determined
Contraindicated in yeast hypersensitivity . May give lifelong immunity.Combined hepatitis A and typhoid Vivaxim Single dose 1 ml combined vaccine Not Routine >=16 yrs Injection site soreness Lifelong immunity to hepatitis B can be achieved by giving a second dose six to 12 months later. Typhoid immunity probably three years Pregnancy safety not established
Japanese encephalitis Japanese Encephalitis Vaccine 1.0 mL SI on days 0, 7, 30 1.0 mL SI every 2 to 3 years >= 3 years Fever, headache, nausea, vomiting (urticaria and angioedema are rare) Safety in pregnancy not determined
Administer last dose 10 days before trip departureMeningococcal type C Mencevax 0.5 mL SI 0.5 mL SI every 3 to 5 years >= 2 years Injection site soreness Safe in pregnancy Typhoid fever Oral Typhoid Vax Threecapsules: 1 capsule given every other day - start day 28 before travel; i.e. Day 28, 26 & 24 Three capsule regimen every 5 years >= 6 years Nausea, vomiting, cramping, fever Oral Thypoid vaccine capsules must be kept refrigerated; each capsule should be taken whole (do not chew) with cool liquid one hour before a meal
Oral Typoid vaccine contraindicated in pregnancy and immunocompromised patients
Start mefloquine (Lariam) or chloroquine at least 3 days after completion of oral Typhoid vaccine
Safety of Typhim VI vaccine in pregnancy not determinedTyphim VI 0.5 mL IM 0.5 mL IM every 2 years >= 2 years Nausea, vomiting, cramping Yellow fever Stamaril 0.5 mL SI 0.5 mL SI every 10 years >= 9 months Headaches, myalgias, fever, encephalitis (rarely in the elderly) Consider carefully in elderly patients
Contraindicated in pregnancy, patients with egg allergy, and immunocompromised patients
Avoid concurrent administration with other live virus vaccines (MMR, oral polio, varicella, oral Typhoid)IM = intramuscularly; SI = subcutaneously; MMR = measles-mumps-rubella vaccine. †-Pediatric concentration of vaccine available and/or requires different dosage regimen.
