Can I get a Tdap vaccine if I’m taking Cosentyx (secukinumab)?
Yes. In general, people taking Cosentyx (secukinumab) can receive Tdap, as Tdap is a non-live vaccine.
Cosentyx is an immunosuppressing biologic used for inflammatory conditions. Non-live (inactivated or toxoid) vaccines like Tdap are not the same as “live” vaccines and are typically allowed for patients on biologics, though your clinician should confirm based on your health status and timing of treatment.
What vaccines should you avoid while on Cosentyx?
You generally should avoid live vaccines while taking immunosuppressive therapies such as Cosentyx. Live vaccines can pose a risk because the vaccine contains a weakened form of the pathogen.
Common examples of live vaccines include certain “nasal spray” influenza vaccines and some others depending on the country’s vaccine schedule. Your pharmacist or prescribing clinician can tell you which ones apply.
When is the best time to get Tdap while on Cosentyx?
The practical goal is to vaccinate when you’re able to mount an immune response and when it’s safe for your specific situation. Many clinicians recommend giving inactivated vaccines when your treatment is stable, but the exact timing (relative to your dosing schedule) is individualized.
Ask the clinician managing your Cosentyx for timing guidance, especially if you’re due for the shot because of:
- a routine booster
- recent wound care needs (tetanus prevention)
- pregnancy (to protect the newborn)
- travel or exposure risk
What if you’re due for Tdap but also need antibiotics or wound treatment?
If you’re getting Tdap because of a cut or another wound where tetanus risk exists, do not delay emergency wound care. Your clinician will decide whether you need Tdap and whether additional tetanus protection is needed based on your vaccine history.
When should you check first even if Tdap is non-live?
Confirm with your healthcare team first if you have:
- a history of serious vaccine reactions
- a current serious infection or you are feeling very unwell
- recently had a different vaccine and want to space doses appropriately
- complex immune-related conditions beyond Cosentyx
If you tell me why you need Tdap (routine booster vs wound vs pregnancy) and when you last had one, I can help you think through the usual clinical next step to discuss with your prescriber.