Preventive health measures in inflammatory bowel disease

Table 4 Live attenuated vaccines with recommended times of administration

Vaccine	Before initiation of immunosuppressive therapy	Already on immunosuppressive therapy
MMR	Contraindicated if starting therapy in 6 wk	Contraindicated
Zoster	Contraindicated if starting therapy in 4-12 wk	Contraindicated
		But 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 starting therapy in 4-12 wk	Contraindicated

Adapted from Chaudrey et al[55].