Based on the available information, there is no general recommendation to stop Cosentyx (secukinumab) before every vaccine.

According to the Cosentyx website, it is not expected that Cosentyx will affect how well vaccines work. However, it is recommended to consult with a healthcare provider regarding the timing of vaccinations [${cosentyx.com/all/covid19}]. This recommendation is supported by a study published in the National Center for Biotechnology Information, which states that "immunization can be given without discontinuation of biologic therapy" [${ncbi.nlm.nih.gov/pmc/articles/PMC9235258}].

It is important to note that the Cosentyx website provides specific guidance for COVID-19 vaccines, stating that "there is no need to adjust the dose or stop treatment with Cosentyx before or after receiving a COVID-19 vaccine" [${cosentyx.com/all/covid19}].

In summary, based on the available information, there is no general recommendation to stop Cosentyx before every vaccine. However, it is always recommended to consult with a healthcare provider regarding the timing of vaccinations.

Sources:

* [cosentyx.com/all/covid19](https://www.cosentyx.com/all/covid19)
* [ncbi.nlm.nih.gov/pmc/articles/PMC9235258](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9235258)
* [drugpatentwatch.com/p/biologics/tradename/COSENTYX](https://www.drugpatentwatch.com/p/biologics/tradename/COSENTYX)