Can you take Shingrix (shingles vaccine) while you’re on Cosentyx (secukinumab)?
In general, people taking Cosentyx can receive Shingrix. Shingrix is a non-live (recombinant) vaccine, and Cosentyx is an immunosuppressing biologic, so clinicians typically prefer non-live vaccines like Shingrix over live vaccines.
Why does it matter that Shingrix isn’t a live vaccine?
Live vaccines are the main concern with immunosuppressive medicines. Because Shingrix is not live, it is usually considered safe to use in patients on biologics such as Cosentyx. The key exception is if your clinician says you should defer vaccination for another reason (for example, you’re dealing with an acute serious illness).
When should you time the Shingrix doses around Cosentyx?
Shingrix is given as two shots, typically spaced 2 to 6 months apart. Many clinicians schedule it to complete dosing while disease is stable and you’re able to attend appointments, but timing can vary based on your treatment plan and infection risk. Your prescribing clinician or pharmacist can confirm the best timing for your situation.
What should you ask your doctor before getting it?
Ask your clinician:
- Whether your current Cosentyx schedule and disease control make now a good time
- Whether you’ve had prior shingles or prior Shingrix doses
- Whether you have any active infection or are currently sick
- Whether you take other immune-suppressing medicines (this can affect planning)
What side effects should you expect?
Shingrix commonly causes short-term side effects such as soreness at the injection site, fatigue, muscle aches, and fever or headache. These are usually temporary, but tell your doctor if you have severe reactions or signs of a serious allergic response.
Where can you confirm this for your specific regimen?
Check with your prescriber or pharmacist, or review vaccine guidance tied to your immune status and medication history. (If you want, tell me your age, dose schedule of Cosentyx, and whether you’re on any other immune medications, and I’ll help you draft questions for your clinician.)