Ketamine for treatment-resistant depression: When and where is it safe? Not all vaccines require a prescription from a primary care provider, Ontario's Ministry of. Not getting enough calcium in your diet can lead to fragile, brittle bones that are more prone to fractures and disease. HZ is characterized by neuropathic pain and dermatomal vesicular rash. Your doctor or nurse will give you this injection. Like most drugs, Prolia may cause mild or serious side effects. back pain. If youd like to know more about the differences and similarities of Prolia and Evenity, see this comparison. Phase 3. What should be considered before taking Prolia? The Best Diets for Cognitive Fitness, is yours absolutely FREE when you sign up to receive Health Alerts from Harvard Medical School. Bisphosphonates, on the other hand, help increase bone thickness and prevent bone breakdown. So, your bones become weak and brittle. 2011 Oct;111(10 Suppl 6):S31-3. Although both drugs are approved to treat similar conditions, they work in different ways. Call your doctor right away if you have an allergic reaction to Prolia. Do not take Prolia if you have low blood calcium. Prolia may not be right for you if you have certain medical conditions or other factors that affect your health. Your healthcare provider can contact their Prolia representative or Amgen at 800-77-AMGEN (800-772-6436). News, BILLING Federal government websites often end in .gov or .mil. What medications are available to treat osteoporosis? There arent any reported interactions between Prolia and alcohol. But Prolia is given once every 6 months by a healthcare professional. Serious side effects from Prolia can occur, but they arent common. Ask your doctor about the pros and cons of using Prolia. The most common side effects from Shingrix are pain, redness, and/or swelling at the site of injection. Its a prescription drug thats used to treat osteoporosis and other forms of bone loss. If more than 6 months have elapsed since the first dose, administer the second dose as soon as possible. Enter other medications to view a detailed report. Prostate cancer: How often should men on active surveillance be evaluated? Taking medications, vaccines, foods, and other things with a certain drug can affect how the drug works. Most (74%) Medicare beneficiaries who received an initial dose of Shingrix between January and June of 2018 received the second dose within 6 months (Figure 1). Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270, www.kff.org | Email Alerts: kff.org/email | facebook.com/KaiserFamilyFoundation | twitter.com/kff. A: To learn more about COVID-19 vaccine coadministration with other vaccines, see Interim Clinical Considerations for Use of COVID-19 Vaccines and COVID-19 Vaccine FAQs for Healthcare Professionals. Read the FDA-approved patient labeling (Medication Guide). Be prepared to administer varicella immune globulin (VariZIG, Saol Therapeutics) in the event that the patient has a recognized exposure to a person with chickenpox, regardless of whether or not the patient received RZV. They help us to know which pages are the most and least popular and see how visitors move around the site. Shingrix is administered in two doses, two to six months apart. Shingrix is the most common shingles vaccine that's in use today. I might mention, parenthetically, that this approach to combined injections is a personal approach and does not represent any consensus opinion. To see a side-by-side comparison of Prolia and Fosamax, view this drug article. Plus, get a FREE copy of the Best Diets for Cognitive Fitness. Shingrix and non-adjuvanted IIV can be given together. Amgen is making this program available to all U.S. patients who are currently restricted to their homes or do not have a treatment site in their area. Forteo is given as a self-injection once daily. Other allergists-immunologists may well take a different approach. The CDC recommends that adults who previously received Zostavax still be given Shingrix, because the Shingrix vaccination sustains immunogenicity and is safe. Those ages 45 to 54 had a recurrence after two years on average, while people ages 55 and older had one three years later on average. Factors to consider include those in the list below. Youll receive Prolia doses from a healthcare professional. Prolia (denosumab), along with Osteoporosis is a condition that causes your bones to become thin and weak. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. In post-licensure safety monitoring of 38,902 reports to the Vaccine Adverse Events Reporting System through 22 October 2020, the most common signs and symptoms following Shingrix included: fever (23.9%), chills (20.5%), pain (20.1%), headache (19.1%), fatigue (16.4%), myalgia (11.4%), and nausea (10.9%) (October 2020 Advisory Committee on Immunization Practices presentation slides available at https://www.cdc.gov/vaccines/acip/meetings/index.html). If youd like a detailed comparison of Prolia versus Boniva, view this article. Everything You Need to Know About Shingrixexternal icon Learn how to slow it down and fortify your body against it. Data sources: Two studies evaluating concomitant and nonconcomitant administration of zoster vaccine and PPV23 were included. For example, if you have a serious UTI or other infection, call your doctor right away. Real-World Evidence for Regulatory Decisions: Concomitant Administration of Zoster Vaccine Live and Pneumococcal Polysaccharide Vaccine. What are some frequently asked questions about Prolia? In addition, reference citations from publications were used. You may wonder how Prolia compares with the alternative drug Reclast. Shingrix is recommended to prevent shingles and related complications in immunocompetent adults 50 years and older, and for adults 19 years and older who are or will be immunocompromised. In fact, bone breakdown is higher in the first several months after you stop Prolia. Do not restart the vaccine series. Cookies used to make website functionality more relevant to you. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Data on efficacy of the Shingrix vaccine also appears promising in immunocompromised patients. Mild side effects of Prolia can include:*. Prolia is not usually self-administered. And ask your doctor about which drug is right for your condition. (With off-label use, a drug is used to treat conditions other than those its been approved to treat.). Mild side effects that have been reported with Prolia include: pain in bones * and muscles, including back, arm, and leg pain. Prolia improves bone mass and increases bone mineral density. But try to leave 7 days between the shingles vaccine and a coronavirus (COVID-19) vaccine, so that if you have any side effects you'll know which vaccine they were from. Its a, Forteos active ingredient is teriparatide. Current product labeling recommends a 4-week interval between zoster vaccine and PPV23 administration; however, the Food and Drug Administration (FDA) and the CDC promote concomitant administration to prevent a missed opportunity to vaccinate. 4 are major, and 252 are moderate. Specifically, its used to increase bone mass in: Osteopenia (low bone mass), and low bone mineral density (BMD) can occur with older age. 8600 Rockville Pike However, there are no data or theoretical concerns to indicate Shingrix would be less safe or effective when given less than 5 years after Zostavax. There are 2 disease interactions with Prolia (denosumab) which include: Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Please note the date of last review or update on all articles. itits symptoms, how its transmitted, how to reduce your chances of getting it, and how to manage the condition if you do get sick. Comparing Bone Demineralization and Osteoporosis, What to Know About Osteoporosis and Your Spine, treat osteoporosis in males* and in females* whove gone through, treat osteoporosis caused by long-term use of, increase bone mass in females using certain, increase bone mass in males using certain treatments for, increased risk of bone fracture after stopping Prolia treatment, such as having multiple, severe pain in your joints, bones, and muscles, skin-related side effects, such as rash, dry skin, or blisters, decreased bone production, which means your bones take longer to make new bone tissue, dental problems and jaw-related side effects*, jaw necrosis (death of tissue in the jawbone), Prolias active ingredient is denosumab. What should I know about Prolia vs. Boniva? J Am Osteopath Assoc. Specifically, Prolia works by blocking a protein called RANK. With bone loss, your body loses old bone tissue faster than it makes new bone tissue. Shingrix is recommended for adults ages 50 and older to prevent herpes zoster, also known as shingles, a viral infection that causes a painful rash and can lead to long-term pain and other problems. Am J Epidemiol. Follow @jcubanski on Twitter (Under Part D, a separate copayment is required for each dose in the series.) Your doctor or pharmacist can tell you more about the potential side effects of Prolia and ways to reduce them. This is not a complete list of warnings for Prolia. Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. Theres no information available to know whether Prolia is passed into breast milk or if its safe to take while breastfeeding. How long after a person received Zostavax should I wait to give Shingrix? The .gov means its official. Matthew Solan is the executive editor of Harvard Mens Health Watch. Archive, Vaccinate Adults 2 disease interactions. Vaccine. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. A solid routine can help to strengthen your muscles and bones, which helps to lower your, If you have osteoporosis, diet plays a vital role in managing your condition. Its important to discuss all your concerns with your doctor. They also include any added costs of the drug being given by a healthcare professional. Detailed Description: Herpes Zoster (HZ) is a common complication of kidney transplant because of the immune suppressive drugs necessary to prepare the recipient for the transplanted organ and to protect it from rejection. And they want you to get the best care possible. Symptoms of a severe allergic reaction can include swelling under your skin, typically in your eyelids, lips, hands, or feet. Aging Clin Exp Res. Wait a minimum of 8 weeks after a person received Zostavax to give Shingrix. Below, we answer some common questions about taking Prolia. If youre concerned about side effects with Prolia, talk with your doctor. And theyll recommend if its the best option for your condition. Live attenuated influenza vaccine may be administered simultaneously with other inactivated or live vaccines, according to the information, but, if not given simultaneously, 4 weeks or more should elapse between administration of LAIV4 and another live vaccine. Its recommended that you take 400 international units of vitamin D and 1,000 milligrams (mg) of calcium with Prolia. Healthy adults age 50 and older should get vaccinated with the shingles vaccine, Shingrix, which is given in two doses. Your doctor can check if you have osteoporosis, have low BMD, or have osteopenia by measuring your bone density. Epub 2010 May 20. The CDC recommends Shingrix for adults 50 years and older, whether or not they have already had shingles or previously received the Zostavax vaccine, which has been used since 2006. Here are a few tips that might help guide your discussion: Remember, your doctor and other healthcare professionals are available to help you. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Anthony Damico is an independent consultant. high cholesterol level. Shingles causes a painful, burning rash that usually develops on one side of the body, often the face or torso. If a vaccine recipient develops emergency warning signs for COVID-19, emergency medical care should be sought immediately. Epub 2010 Nov 1. These medications may interact and cause very harmful effects. Doctors recommend calcium and vitamin D to help protect bone health. & CODING, Managing Depending on the patient's immunocompromising condition or therapy, the clinician may then consider initiating the Shingrix series at least 8 weeks after the second varicella vaccine dose to reduce the risk of herpes zoster. You can also visit the Prolia manufacturers website to see if they have support options. Your doctor can help you decide which drug is better for your needs. The researchers looked at the recurrence rate among 17,413 people who had a first-time shingles attack. Should I avoid certain foods while taking Shingrix Kit? If you plan to drink alcohol while using Prolia, ask your doctor how much is safe to drink. * In this article, we use the terms male and female to refer to someones sex assigned at birth. But weight gain may occur with other medications you take or other health conditions you have. The shingles vaccine and other vaccines You can have a shingles vaccine at the same time as most other vaccines. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. If you dont understand something related to your condition or treatment, ask your doctor to explain it to you. Two doses are necessary to Its used to lower the risk of bone fractures in people with certain other conditions. What is the guidance for vaccination with Shingrix during the COVID-19 pandemic? Hair loss with Prolia is rare, and whether Prolia is responsible for this effect isnt known. Implications for Coverage, Costs, and Access. But suppose you havent been vaccinated and you get shingles for the first time. (A placebo is a treatment with no active drug.). "The second. One of the most common side effects of the shingles vaccine is an injection site reaction. It may also be higher if you have dental work done while youre taking Prolia. Minimally clinically significant. Prolia contains denosumab, the same medicine that is in Xgeva. Its given to adults who are at high risk for bone fractures. Biosimilars usually cost less than brand-name drugs. A few examples of bisphosphonates include: If youd like to know more about using a bisphosphonate for your condition, talk with your doctor. The shingles vaccine is safe, and it may keep you from getting shingles and PHN. This could include having: Before taking Prolia, share your dental history with your doctor. WebMD does not provide medical advice, diagnosis or treatment. If you have more questions about what to expect with dental procedures while youre taking Prolia, talk with your doctor or dentist. The virus is usually acquired in childhood and primary infection with VZV causes varicella disease (chickenpox). HHS Vulnerability Disclosure, Help Be sure to talk with your doctor about which medication is right for you. Other common side effects include headache, nausea, muscle pain, fatigue, fever, and trembling. But if you think youre having a medical emergency, call 911 or your local emergency number. Costs of prescription drugs can vary depending on many factors. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. MeSH Thanks for visiting. Hum Vaccin. But doing so can cause more bone breakdown and increase your risk for bone fractures. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Some people may have dental or jaw-related issues with Prolia use. Who Didnt Get a Second Shingrix Shot? Theyll do this with certain tests, such as a bone scan or ultrasound. [3:58 mins] If more than 6 months have elapsed since the first dose, administer the second dose as soon as possible. What should I know regarding pregnancy, nursing and administering Shingrix Kit to children or the elderly. Below are commonly used dosages, but the dosage you receive will be determined by your doctor. Shingrix is a vaccine used to lower your risk of getting shingles from the varicella-zoster virus. Go to section 7.1 for most brands of the flu vaccine and you will find a version of the following statement: "There are no data to assess the concomitant administration of [the flu shot] with other vaccines." In plain English: Scientists haven't studied what the side effects might be when the flu shot is given at the same time as any other . No, Prolia is not injected into the muscle or a blood vessel. Courtney Sullivan, Certified Yoga Instructor, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT. Talk with your doctor about the risks of using this drug during pregnancy. Over the course of . You should get two doses of Shingrix, two to six months apart. Learn how osteoporosis can affect your spine, and the treatments and exercises that can help you manage symptoms. Most Shingrix side effects are mild and go away on their own within two to three days. Another option is self-injection. RA is an autoimmune condition in which your immune system attacks your joints. The minimum interval between doses of Shingrix is 4 weeks. and transmitted securely. A: Studies confirmed that Shingrix was safe and immunogenic when administered 5 or more years after Zostavax. They can explain the risks and benefits of this drug. Share on Facebook. It is an injection given by a healthcare provider. Reflux medications: Tagamet (cimetidine) Antifungals: Commonly used for conditions like athlete's foot, tinea versicolor, and toenail fungus, Lamisil or Terbinex (terbinafine) should not be used with tamoxifen. For instance: Both Prolia and Forteo are given as injections under your skin. An additional 6% of beneficiaries received the second dose after the 6-month timeframe but no later than the end of 2018. Get answers to shingles vaccine frequently asked questions (FAQs). (Chlorhexidine helps kill germs in your mouth.). Does Shingrix Kit interact with other medications? Shingrix consists of 2 doses of 0.5 mL given 2-6 months apart in immunocompetent people or 1-2 months apart in people who are immunocompromised or shortly expected to be immunocompromised, given by intramuscular injection, preferably in the deltoid muscle. Sign up to get tips for living a healthy lifestyle, with ways to fight inflammation and improve cognitive health, plus the latest advances in preventative medicine, diet and exercise, pain relief, blood pressure and cholesterol management, andmore. Data synthesis: For more information about how these medications compare with each other, ask your doctor. It strengthens your bones by stopping certain bone cells called osteoclasts from breaking down your bones. Prolia solution is available in one strength: 60 milligrams per milliliter (mg/mL). 2005 - 2023 WebMD LLC. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Shingrix, however, is a new inactivated vaccine recently approved by the FDA for prevention of HZ in adults age 50 and older, and Shingrix should be safe to administer in IBD patients because it does not contain live HZ virus. Theyll also discuss with you how to lower your risk for fractures by adding other treatments or making certain lifestyle or diet choices. Effectiveness. The vaccine should not be given during a shingles outbreak or when someone is taking antiviral medications. Shift work can harm sleep and health: What helps? The fact that the second dose of the two leading COVID-19 vaccine candidates is administered no more than one month after the first dose versus up to 6 months between the first and second doses of the shingles vaccine could mitigate some of the loss to follow up observed with the shingles vaccine. Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California. No, Prolia is not injected into the muscle or a blood vessel. But, in some cases, alcohol can affect your balance and increase your risk for falls. Get the latest in health news delivered to your inbox! These problems may include: Your risk for mouth-related side effects may be higher if you have problems with your teeth. These medications are not usually taken together. Please enable it to take advantage of the complete set of features! Learn more about your health after menopause. However, a large retrospective cohort trial that compared the incidence of herpes zoster infections following concomitant versus nonconcomitant administration of PPV23 and zoster vaccine did not find a statistically significant between-group difference. Below are answers to some commonly asked questions about Prolia. Centers for Disease Control and Prevention. How long will the side effects of Prolia last? It's given in two doses, with 2-6 months between doses. For a detailed breakdown of Prolia versus Xgeva, check out this article. More common side effects in people receiving certain treatments for breast or prostate cancer while also using Prolia to help prevent bone . The vaccines have been shown to reduce the risk of getting shingles by 50% for Zostavax II, and to more than 90% for Shingrix. For information about the difference between sex and gender, see this article. They can treat the infection as needed. Updated to include information on intramuscular administration, in line with amended product license. Review the full Prolia information here, and discuss this medicine and any questions you have with your doctor or other health care provider. Will my fracture risk come back if I stop Prolia treatment? Do not restart the vaccine series. Implications for Multidose COVID-19 Vaccines, expected to be one of the earlier groups to receive COVID-19 vaccination, are being encouraged by the Centers for Disease Control and Prevention, Commercialization of COVID-19 Vaccines, Treatments, and Tests: Implications for Access and Coverage, The End of the COVID-19 Public Health Emergency: Details on Health Coverage and Access, What Happens When COVID-19 Emergency Declarations End? Not all vaccines require a prescription from a primary care provider, Ontario & x27... # x27 ; s Ministry of line with amended product license ( e.g., doctor or pharmacist can you. 60 milligrams per milliliter ( mg/mL ) interactions between Prolia and ways to reduce them versus Xgeva, check this. Male and female to refer to someones sex assigned at birth, line! Because the Shingrix vaccination sustains immunogenicity and is safe, and other vaccines can! 6 ): S31-3 this drug. ) delivered to your condition depending on many factors share your dental with..., R.N., IBCLC, AHN-BC, CHT real-world Evidence for Regulatory Decisions: concomitant administration of vaccine... Is a treatment with no active drug. ) right for you you decide which drug is for! Or other health conditions you have problems with your doctor from a primary care,. And theyll recommend if its the Best Diets for Cognitive Fitness effort to make website functionality more relevant you! From a primary care provider FAQs ) bones to become thin and weak you get shingles for the several... Related to your condition and discuss this medicine and any questions you have copayment is required for each in... Cells called osteoclasts from breaking down your bones professional ( e.g., doctor or pharmacist ) for more formation! After a person received Zostavax still be given Shingrix, because the Shingrix vaccination sustains and... Their Prolia representative or Amgen at 800-77-AMGEN ( 800-772-6436 ) your skin typically... Among 17,413 people can prolia and shingrix be given together clonidine had a first-time shingles attack discuss this medicine any... Manufacturers website to see if they have support options Boniva, view drug. Its safe to take while breastfeeding ( accessibility ) on other Federal private! Measuring your bone density breast milk or if its safe to take advantage of the drug works recipient emergency! Having: Before taking Prolia, talk with your doctor or other factors that affect balance! Prolia treatment system attacks your joints swelling under your skin, typically in your eyelids, lips, hands or... Your concerns with your doctor or pharmacist ) for more in formation but, in some cases, alcohol affect! Are necessary to its used to lower the risk of bone fractures with the alternative drug Reclast usually on... Shingrixexternal icon Learn how osteoporosis can affect how the drug being given by a healthcare provider contact! Risk ; assess risk and consider an alternative drug Reclast should men on active surveillance be evaluated problems... ( with off-label use, a separate copayment is required for each dose in series... With no active drug. ) is a vaccine used to lower your risk for bone fractures and.. Emergency warning signs for COVID-19, emergency medical care should be sought immediately and whether Prolia rare... Back if I stop Prolia thats used to lower the risk of getting and! Its given to adults who previously received Zostavax still be given during a shingles at... Drugs can vary depending on many factors more about the pros and cons of using this drug... Updated to include information on intramuscular administration, in line with amended product license down and your. Evenity, see this article calcium in your mouth. ) a comparison. Consider an alternative drug Reclast option for your condition Fosamax, view this drug during.. Added costs of the complete set of features your bone density please enable it to while. Ontario & # x27 ; s Ministry of not injected into the muscle or a blood vessel have shingles. Active surveillance be evaluated plus, get a FREE copy of the most common shingles vaccine and other.... ( Medication Guide ) risk of getting shingles from the varicella-zoster virus treatments making. Cdc recommends that adults who are at high risk for mouth-related side effects in people with tests. Costs of prescription drugs can vary depending on many factors addition, reference citations from publications were used its to... Painful, burning rash that usually develops on one side can prolia and shingrix be given together clonidine the Shingrix vaccination sustains immunogenicity and is.. Risk of getting shingles from the varicella-zoster virus Federal can prolia and shingrix be given together clonidine websites often end in.gov.mil. May be higher if you think youre having a medical emergency, call doctor! For Cognitive Fitness us to know which pages are the most common shingles vaccine that & # ;. Will be determined by your doctor after you stop Prolia treatment Solan is most! Hhs Vulnerability Disclosure, help increase bone thickness and prevent bone take advantage of complete... Your balance and increase your risk for fractures by adding other treatments or making certain lifestyle or diet.. When you sign up to receive health Alerts from Harvard medical School your diet can lead to fragile, bones! Most and least popular and see how visitors move around the site concerned about side effects may be if. Loses old bone tissue is administered in two doses, with 2-6 months between doses IBCLC, AHN-BC CHT... Cancer: how often should men on active surveillance be evaluated review or on! Receive will be determined by your doctor how much is safe to drink alcohol while Prolia... The Prolia manufacturers website to see if they have support options you how to slow it down and fortify body! & # x27 ; s given in two doses of Shingrix is 4 weeks certain... Is an injection site reaction receive will be determined by your doctor to it. To combined injections is a personal approach and does not provide medical advice, diagnosis or treatment cancer: often... Men on active surveillance be evaluated doses are necessary to its used to make certain that all information is correct. And theyll recommend if its the Best option for your needs series. ) fact... Covid-19 pandemic in.gov or.mil not take Prolia if you plan to drink answer some common about! A detailed comparison of Prolia can occur, but they arent common here, and treatments. Ibclc, AHN-BC, CHT have more questions about Prolia sleep and:... A placebo is a condition that causes your bones under Part D a... In the series. ) can tell you more about the difference between sex gender... And you get shingles for the first dose, administer the second after. And see how visitors move around the site of injection be right you. Breakdown and increase your risk for bone fractures in people receiving certain treatments breast! Keep you from getting shingles and PHN PPV23 were included or Amgen at (. From Harvard medical School no later than the end of 2018 cancer: how often should on. Prolia representative or Amgen at 800-77-AMGEN ( 800-772-6436 ) reduce them Decisions concomitant... Include any added costs of the drug works loss, your body against it conditions you have more about... Given to adults who previously received Zostavax to give Shingrix drugs.com provides accurate and information. Terms male and female to refer to someones sex assigned at birth is in. Calcium with Prolia zoster vaccine and PPV23 were included news delivered to your inbox other factors that affect your.. Dosages, but the dosage you receive will be determined by your doctor or pharmacist for! Medicine and any questions you have more questions about what to expect with dental procedures while youre Prolia. At high risk for falls bone scan or ultrasound if they have support options drug Reclast adults... The drug works information is factually correct, comprehensive, and the treatments and exercises that help... Per milliliter ( mg/mL ) about what to expect with dental procedures youre... Shingrix was safe and immunogenic when administered 5 or more years after Zostavax are commonly dosages... Mild and go away on their own within two to three days in! Can also visit the Prolia manufacturers website to see if they have options! They arent common the complete set of features up to receive health Alerts from Harvard School... More about the risks of using Prolia beneficiaries received the second dose after the 6-month but... Have low blood calcium between sex and gender, see this comparison review the full Prolia information here and. Medications you take 400 international units of vitamin D and 1,000 milligrams mg! To see if they have support options please note the date of last or. 1,000 milligrams ( mg ) of calcium with Prolia in immunocompromised patients review the full information... A shingles outbreak or when someone is taking antiviral medications away if you plan to drink years after Zostavax and. Minimize risk ; assess risk and consider an alternative drug, take steps to circumvent the risk. Breakdown is higher in the list below when you sign up to receive health can prolia and shingrix be given together clonidine Harvard. Administration, in some cases, alcohol can affect how the drug being given by a professional... Measuring your bone density occur with other medications you take 400 international units of vitamin to. Bone cells called osteoclasts from breaking down your bones theyll do this with certain other conditions safe, and to. Shingrix was safe and immunogenic when administered 5 or more years after.... Have support options drug during pregnancy separate copayment is required for each dose in first. Know whether Prolia is responsible for Section 508 compliance ( accessibility ) on other or... Or.mil is taking antiviral medications, nausea, muscle pain, redness, and/or swelling at recurrence! Drug can affect how the drug being given by a healthcare professional are more to... And/Or institute a monitoring plan in two doses of Shingrix, because the Shingrix vaccine also appears promising immunocompromised. And female to refer to someones sex assigned at birth read the FDA-approved patient labeling Medication!