Persons who have had shingles in the last year are considered immune.
This vaccine is no longer available and has been replaced by the non-live herpes zoster (Shingrix®) vaccine.
BEFORE INITIATION OF IMMUNE SUPPRESSION
Not recommended. Use inactivated vaccine.
WHAT TO DO IF ALREADY IMMUNOSUPPRESSED (ON ANTI-TNF OR IMMUNOMODULATOR)
Not recommended. Use inactivated vaccine.
Note: The non-live herpes zoster (Shingrix®) vaccine is suggested for all IBD patients who are immunosuppressed age 18 years and older, and strongly recommended for all IBD patients age 50 and older, whether immunosuppressed or not.