Kerala State Drug Formulary.pdf

Immunologicals
of child beating age are advised not to become
pregnant for 2 months after vaccination.
A/E: Skin rashes, pharyngitis, fever, lymphadenopathy,
arthralgia, arthropathy, thrombocytopenia and
neurological symptoms including neuropathy and
paraesthesia have been reported rarely
Dose: Adult and Child:12 months and above, deep SC, 0.5mL
as single dose.
Typhoid vaccine
I: Active immunization against typhoid
C/I: Congenital acquired immunodeficiency,treatment with
immunosuppressives and antimitotic drugs; acute
febrile illness,acute intestinal infection
P/C: thrombocytopenia;avoid simultaneous administration
of antibacterials.Mefloquine should not be
taken at least 12 hours before or after a dose
A/E: Redness pain and swelling, fever, headache, malaise,
nausea, itching, rarely anaphylaxis
Dose: Adult:IM single dose of 0.5 ml,revaccinated every 3
years if necessary
Child:>2 years, same as adult dose
Cholera vaccine
I: Active immunization against cholera
C/I: Hypersensitivity to previous dose
P/C: Immunity last only upto 6 months,hence attention to
hygiene food and water is essential
A/E: Mild transient gastrointestinal disturbances reported
Dose: Adult 0.5 ml IM second dose after 4 weeks 1 ml IM;
Child 1-5 years 0.1ml second dose 0.3 ml;
6-10 years,0.3 ml,second dose 0.5 ml
Hepatitis A vaccine
I: active immunization against hepatitis A virus infection
C/I: Hypersensitivity
P/C: Serious infections,cardiovascular disease pulmonary
disorders pregnancy,breast feeding
A/E: Fatigue,fever,transient LFT abnormalities, headache,
reactions at injection sites rarely
Dose: Adult:IM,1 ml as a single dose;and a booster dose 1 ml
6-12 months after usual dose
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