SHOULD TITRES BE CHECKED?

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This vaccine is no longer available and has been replaced by the non-live herpes zoster (Shingrix®) vaccine.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.