Updates in vaccination: Recommendations for adult inflammatory bowel disease patients

Table 6 Live attenuated vaccines with recommended times of administration[2]

Vaccine	Before initiation of immunosuppressive therapy	Already on immunosuppressive therapy
MMR	Contraindicated if plans to start therapy in 6 wk	Contraindicated
Zoster	Contraindicated if plans to start therapy in 1-3 mo	Contraindicated-could consider if:
		On short-term corticosteroids (< 14 d)
		On Methotrexate (< 0.4 mg/kg per week)
		On Azathioprine (< 3.0 mg/kg per day)
		On 6-mercaptopurine (< 1.5 mg/kg per day)
Varicella	Contraindicated if plans to start therapy in 1-3 mo	Contraindicated

MMR: Measles, mumps, rubella.