Varilrix Injection
- 1. Introduction
- 2. Composition of Varilrix Injection
- 3. Uses of Varilrix Injection
- 4. How Varilrix Injection Works
- 5. Dosage and Administration
- 6. Side Effects of Varilrix Injection
- 7. Common Side Effects of Varilrix Injection
- 8. Off-Label Uses of Varilrix Injection
- 9. Storage of Varilrix Injection
- 10. Drug Interactions with Varilrix Injection
- 11. Warnings and Precautions
- 12. Contraindications of Varilrix Injection
- 13. Careful Administration of Varilrix Injection
- 14. Important Precautions with Varilrix Injection
- 15. Administration to Elderly Patients
- 16. Administration to Pregnant Women and Nursing Mothers
- 17. Administration to Children
- 18. Overdosage of Varilrix Injection
- 19. Handling Precautions for Varilrix Injection
1. Introduction
Overview of Varilrix Injection
Varilrix Injection plays a role in safeguarding individuals against the varicella-zoster virus or chickenpox by providing immunization support through an attenuated vaccine that helps prevent varicella infections in susceptible groups.
Importance in Vaccination and Prevention of Varicella (Chickenpox)
Chickenpox is highly contagious and, though typically mild, can lead to severe complications in certain individuals. The Varilrix Injection plays a vital role in public health, reducing the incidence of varicella outbreaks and preventing associated complications like pneumonia and encephalitis.
Approved Uses and Significance in Public Health
- Approved for use in both children and adults.
- Especially important for healthcare workers, immunocompromised individuals, and those at high risk.
- Significant in controlling outbreaks and reducing the overall burden of chickenpox in communities.
2. Composition of Varilrix Injection
Active Ingredients in Varilrix
The Varilrix Injection includes a weakened version of the varicella-zoster virus that's alive but not harmful to trigger the system without causing the actual disease itself.
Role of Varicella-Zoster Virus Strain in the Vaccine
The unique varicella zoster strain employed in Varilrix is grown to reduce its ability to cause disease while still triggering a response, with minimal side effects in individuals receiving the vaccine. This method aims to provide immunity, with drawbacks.
Inactive Ingredients and Their Purpose
Varilrix also includes stabilizing agents, like neomycin and gelatin, to keep the vaccine effective while it is stored and transported. The presence of these components helps maintain the virus's potency until it is administered.
3. Uses of Varilrix Injection
Primary Use: Prevention of Chickenpox in Children and Adults
Varilrix is mainly administered to protect people from chickenpox through immunization. It is frequently provided during a child's years. It can also be beneficial for adults who haven't received the vaccine or have had chickenpox exposure before.
Vaccination Protocols for High-Risk Populations
Individuals with weakened systems due to conditions like chemotherapy or organ transplants have vaccination procedures in place to protect them from severe varicella infections as they are more vulnerable to such risks.
Recommendations for Healthcare Workers and Immunocompromised Individuals
- Healthcare workers are recommended to be vaccinated to prevent nosocomial transmission.
- Immunocompromised individuals may require adjusted vaccination schedules for optimal protection.
Use in Outbreak Control and Prevention
During chickenpox outbreaks, Varilrix is frequently used in schools and daycare centers where close contact is frequent to limit the transmission of the virus.
Off-Label Uses of Varilrix Injection (e.g., Prevention of Shingles)
Varilrix is mainly intended for treating chickenpox but is also used off-label to prevent herpes zoster (shingles), particularly in specific groups of people.
4. How Varilrix Injection Works
Mechanism of Action: Immune Response to Varicella-Zoster Virus
The vaccine functions by introducing a weakened version of the varicella-zoster virus into the body, stimulating the system's production of antibodies that offer lasting defense against encounters with the virus.
Development of Long-Term Immunity Post-Vaccination
After getting vaccinated against chickenpox sickness, being exposed to it later on will be less likely due to the immunity that develops in the body and lasts for years post-vaccination. Additional booster doses could be advised in situations to help sustain high levels of immunity.
Timeframe for Immune Protection After Administration
Typically, immunity starts to build up around 10 to 14 days after getting the vaccine, providing protection in places where there is a higher risk.
5. Dosage and Administration
Standard Dosage for Children, Adults, and High-Risk Groups
The usual amount of Varilrix given is 0. 1 ML through a shot under the skin. Youngsters get their dosage when they are between 1 and 3 years old and then get another dose when they are older. Grown-ups who have not had the vaccine can also receive two doses.
Schedule of Administration (Single or Two-Dose Schedule)
- Children: 1st dose at 12-15 months, 2nd dose at 4-6 years.
- Adults: Two doses, administered 4 to 8 weeks apart.
Route of Administration: Subcutaneous Injection
Ensure that Varilrix is injected under the skin, in the upper arm area to guarantee immunization.
Adjustments in Dosage for Special Populations
Some groups of people, like those with weakened systems, may need different amounts of vaccine or a different vaccination plan to ensure that it works well and is safe for them.
Guidelines for Missed Doses or Incomplete Vaccination
If a dose is forgotten to be taken on time its recommended to take it as you remember. For individuals who haven't finished their vaccination course they should receive the remaining doses to guarantee immunity.
6. Side Effects of Varilrix Injection
Common Side Effects (Fever, Injection Site Reactions)
Most individuals experience mild side effects such as:
- Fever
- Redness or swelling at the injection site
These symptoms typically resolve within a few days.
Rare and Serious Side Effects (Allergic Reactions, Seizures)
In rare instances, individuals may experience more serious adverse effects, including allergic reactions (anaphylaxis) or febrile seizures. Immediate medical attention is required if these occur.
Duration and Management of Side Effects
Common side effects typically don't last long. Usually only stick around for a days, at most. You can often relieve symptoms using over the counter remedies, like acetaminophen.
Monitoring for Post-Vaccination Symptoms
Healthcare professionals may recommend monitoring for symptoms after getting vaccinated, especially if you have existing health issues.
7. Common Side Effects of Varilrix Injection
Local Reactions: Redness, Swelling, and Pain at Injection Site
People often experience reactions at the injection site that are common but not severe, such as redness and swelling along with tenderness that usually goes away within two days.
Mild Systemic Reactions: Fever, Mild Rash
- Post vaccination a mild fever is commonly experienced by individuals.
- Some people might experience a rash that doesn't itch well.
Gastrointestinal Symptoms (Nausea, Vomiting)
- Some people occasionally experience stomach-related issues like queasiness.
- Throwing up following their administration of the Varilrix vaccine.
Duration and Frequency of Common Side Effects
The mild side effects typically persist for a few days and are seen as temporary in nature; they tend to occur following the initial dose but decrease with subsequent doses.
8. Off-Label Uses of Varilrix Injection
Use in Prevention of Herpes Zoster (Shingles)
Varilrix is mainly meant for chickenpox. Studies indicate it could also provide defense against herpes zoster (shingles) in people with previous exposure to varicella.
Potential Use in Managing Other Varicella-Related Complications
Recent research suggests that Varilrix might help reduce some complications linked to varicella like postherpic neuralgia; further investigation is necessary, in this field.
Investigational Uses in Immunotherapy and Other Viral Diseases
Varilrix is currently, under scrutiny for its advantages and its possible application in immunotherapy, for a range of viral illnesses.
9. Storage of Varilrix Injection
Proper Storage Conditions: Refrigeration and Temperature Requirements
Varilrix should be kept in a refrigerator at temperatures ranging from 2°C to 8°C. It should not be frozen, as this may impact the vaccine's efficacy.
Stability and Shelf Life of the Vaccine
The vaccine can stay effective for a period of two years if stored correctly. Should be used within 30 minutes after being reconstituted to maintain its effectiveness, over time.
Guidelines for Safe Transportation and Handling
Special rules need to be adhered to when transporting Varilrix to preserve its effectiveness by keeping it cold throughout the journey.
10. Drug Interactions with Varilrix Injection
Interactions with Other Vaccines (MMR, Flu Vaccines)
Varilrix can be given together with vaccines, like MMR (measles, mumps, rubella) and flu shots; however, it's important to inject them at different locations to ensure effectiveness is not compromised when taken simultaneously.
Impact of Immunosuppressive Therapies on Vaccine Efficacy
People receiving treatments that weaken the system, like chemotherapy or corticosteroids, may find that Varilrix isn't as effective for them as expected. In these situations it might be necessary to delay vaccination or proceed with it carefully.
Antiviral drugs can interfere with Varilrix's effectiveness when taken close to the vaccination time period in cases of herpes infection treatment, so it is recommended to wait at least 24 hours between taking antiviral medication and getting vaccinated.
11. Warnings and Precautions
Risks Associated with Administration to Immunocompromised Individuals
Extreme care should be taken when giving Varilrix Injections to individuals with weakened systems, such as those receiving chemotherapy or living with HIV/AIDS, as they are more susceptible to infections and may experience severe side effects due to the live virus in Varilrix potentially multiplying easily in their bodies leading to complications. To ensure safety and effectiveness of the vaccination process a thorough risk evaluation is crucial, before proceeding.
Precautions for Individuals with a History of Allergic Reactions
Adverse reactions to Varilrix can occur occasionally, but they are uncommon overall. They should be considered for those who have previously experienced allergic reactions to any ingredients in the vaccine, like neomycin or gelatin, before getting Varilrix. It’s important to note that while a severe allergic reaction is rare occasionally, it may require medical attention.
Considerations for Patients with Acute Illness
Patients with fevers should wait until they fully recover before getting vaccinated to avoid making their symptoms worse or weakening their immune response due to the vaccine's interaction with the illness in progress. It's best to wait until the patient is fully recovered and in health before giving them the vaccine unless they have ailments, like a slight respiratory infection.
12. Contraindications of Varilrix Injection
Absolute Contraindications (Severe Allergy to Components)
If someone has reactions to the ingredients in Varilrix, has had allergies to gelatin or neomycin in the past, or has suffered from serious allergic reactions after previous varicella vaccine doses, they should not take Varilrix due to the risks involved, like potentially life-threatening allergic responses.
Relative Contraindications (Pregnancy, Active Tuberculosis)
When a person is pregnant or dealing with tuberculosis, it's not recommended to receive the Varilrix vaccine due to the risks involved with the live virus crossing the placenta or worsening tuberculosis symptoms. This means it's best to wait until after pregnancy or tuberculosis treatment before getting vaccinated to prevent any complications.
Assessment of Patient Suitability Before Administration
Prior to giving Varilrix to a patient, medical professionals should thoroughly review the patient's background, current health condition, and any possible risk factors. This process helps ensure the safe administration of the vaccine and minimizes the likelihood of missing any adverse reactions or contraindications.
13. Careful Administration of Varilrix Injection
Careful Administration in Individuals with Chronic Health Conditions
Patients who have long-term health issues, like autoimmune disorders, or are undergoing treatment need thorough evaluation before being given Varilrix vaccination to ensure safety and prevent any potential complications or negative responses.
Monitoring Patients with a History of Febrile Seizures
Individuals with a history of febrile seizures may experience febrile seizures, a possible risk factor to consider carefully in such cases. Although the occurrence of fever following vaccination is uncommon, it could trigger seizures in those who are vulnerable. It is recommended to monitor individuals post-vaccination to promptly identify and address any symptoms that may arise.
Administration Considerations in Individuals with Thrombocytopenia
Patients diagnosed with thrombocytopenia, a condition characterized by low platelet counts, are at a heightened risk of bleeding following an injection. Special attention is required when administering Varilrix to these individuals. Applying firm pressure to the injection site for an extended period may reduce the risk of bleeding.
14. Important Precautions with Varilrix Injection
Pre-Vaccination Screening for Varicella Immunity
Before giving the Varilrix vaccine to a person, it's crucial to check if they already have immunity against chickenpox through either infection or vaccination, as they might not need it. In such cases, conducting a serological test can validate immunity status and prevent unnecessary vaccination procedures.
Guidelines for Avoiding Varicella Transmission Post-Vaccination
After getting the Varilrix vaccine, people who have been vaccinated might experience a rash as a sign of shedding. Although the risk of transmission is very low, it is recommended that individuals who have recently been vaccinated stay away from at-risk populations like women, infants, and those with weakened systems until any rash disappears.
Necessary Precautions in the Event of Vaccine-Induced Rash
If you notice a rash after getting vaccinated with a vaccine-induced rash, it's important to take steps to prevent the spreading of the virus from the vaccine strain. Keep the area clean and avoid contact, with people who may be, at risk until the rash clears up.
15. Administration to Elderly Patients
Special Considerations for Use in Elderly Populations
Elderly individuals may exhibit a different response than younger people due to the effects of aging on immunosenescence, which can decrease vaccine efficacy in older adults, like those receiving Varilrix.
Immune Response Variations in Older Adults
Elderly individuals frequently react to vaccines more than younger adults, which may require the consideration of extra booster shots for optimal protection against diseases. Regular monitoring of antibody levels might be needed to decide if supplementary doses are needed.
Benefits and Risks of Vaccination in Elderly Individuals
Varilrix provides protection against chickenpox for individuals; however, healthcare providers should carefully consider the potential increased risks of adverse reactions due to age-related health concerns before administering the vaccine to older patients.
16. Administration to Pregnant Women and Nursing Mothers
Risks of Administering Varilrix During Pregnancy
Varilrix should not be used during pregnancy because it can pose a risk of causing varicella syndrome to the developing fetus by passing the live attenuated virus through the placenta and leading to serious complications. Women in their childbearing years are advised to use contraception for at a month after receiving the vaccination.
Guidelines for Vaccination in Breastfeeding Mothers
Varilrix is widely regarded as safe for mothers who are breastfeeding their infants because there is no proof that the vaccine virus passes into breast milk. However, some healthcare professionals may advise caution. They may recommend that breastfeeding be temporarily avoided if the mother experiences a rash after receiving the vaccine.
Counseling on Varicella Infection Risks During Pregnancy
It's important for women who haven't had chickenpox or been vaccinated to receive counseling because contracting varicella during pregnancy can result in complications such as birth defects. Its advised for women to get vaccinated before getting pregnant to reduce these risks.
17. Administration to Children
Recommended Age Groups for Varilrix Vaccination
Varilrix is usually given to children who are at least one year old or older in two doses: the first one between ages one and one and a half and the second between ages four and five to provide protection against chickenpox during childhood, when children are most vulnerable.
Special Considerations for Pediatric Vaccination Schedules
It's important to ensure that children who miss their vaccination schedule get vaccinated as soon as possible to reduce their risk of getting sick.
Management of Side Effects in Children
Children may experience side effects, like fever and a mild rash, after receiving the vaccine—occurrences that can be managed with over-the-counter remedies such as acetaminophen.Parental monitoring post-vaccination is recommended to safeguard the child's health and promptly address any responses.
18. Overdosage of Varilrix Injection
Signs and Symptoms of Varilrix Overdosage
Overdosing on Varilrix is uncommon but can lead to increased side effects such as a rash and heightened fatigue or fever symptoms may emerge following an intake of the medication; seek immediate medical assistance if overdose is suspected to address potential prolonged symptoms that may necessitate medical intervention.
Management and Treatment of Overdose Cases
In the event of an overdose, supportive care is typically sufficient to manage symptoms. Patients may be advised to rest, hydrate, and use antipyretics if fever is present. Severe cases might require hospitalization for monitoring and further treatment.
Risk Assessment and Reporting Protocol for Overdose
Healthcare professionals need to notify health authorities if they suspect an overdose and adhere to set procedures for monitoring the patient's well-being. Reporting plays a role in enhancing safety measures and surveillance systems during vaccine distribution processes.
19. Handling Precautions for Varilrix Injection
Safe Handling and Administration Procedures for Healthcare Providers
Healthcare professionals need to follow protocols when giving Varilrix vaccines, such as using equipment and storing it properly to avoid any issues with contamination or negative responses during administration.
Guidelines for Disposal of Vaccine Vials and Syringes
After using vials and syringes, it is important to dispose of them according to waste guidelines by placing them in containers designed to prevent needle injuries and environmental harm.
Personal Protective Equipment (PPE) Requirements During Administration
Healthcare workers giving Varilrix should wear protective gear (PPE) such as gloves to avoid contact with the vaccine or unintended contamination incidents. They should also adhere to hygiene practices like washing their hands before and after performing the procedure.
Varilrix Injection FAQ
- What is the Varilrix vaccine used for?
- How long does the Varilrix vaccine last?
- What is the difference between varivax and Varilrix?
- What is the difference between Zostavax and Varilrix?
- Should VARILRIX be given one or two doses?
- What temperature is the VARILRIX vaccine kept at?
- What disease is VARILRIX vaccine for?
- How to give VARILRIX?
- Is varicella same as VARILRIX?
- How effective is VARILRIX?
- Is the Varilrix vaccine live?
What is the Varilrix vaccine used for?
VARILRIX is a vaccine that helps protect individuals from the varicella virus that leads to chickenpox in babies (starting from 9 months old), kids of all ages, and adults. Chickenpox is a illness frequently referred to as varicella and is caused by the varicella zoster virus.
How long does the Varilrix vaccine last?
The duration of protection, from varicella vaccination remains uncertain; however live vaccines typically offer extended immunity over time according to studies demonstrating antibodies persist for 10 to 20 years post vaccination, against varicella virus.
What is the difference between varivax and Varilrix?
Purified porcine gelatine serves as a stabilizing agent in the Varivax vaccine, while Varilrix does not contain this ingredient. Different chickenpox vaccines from brands in regions may have varying components. If you are outside the UK, request the information leaflet for the vaccine being provided to you.
What is the difference between Zostavax and Varilrix?
The Zostavax® vaccine is made from a weakened virus. It is based on the same VSV vaccine strain (derived from the Oka strain). It has a composition compared to the available varicella vaccines (Varilrix® and Varivax®) with an average of at least 14 times more virus units per dose for enhanced efficacy.
Should VARILRIX be given one or two doses?
Subjects aged 13 and above require two doses of the vaccine with an interval of six weeks between them; however, never more than four weeks apart is allowed. If an individual has previously received a dose of another vaccine containing varicella virus, they may receive a dose of VARILRIX instead.
What temperature is the VARILRIX vaccine kept at?
Following the reconstitution process, the vaccine suggests administering it post-preparation is ideal, although studies indicate that the reconstituted vaccine can remain stable for up to 90 minutes at room temperature (25°C) and up to 8 hours when refrigerated (between 4°C and 8°C).
What disease is VARILRIX vaccine for?
Varilrix is a vaccine for chickenpox, also known as varicella, that helps strengthen the body's system to prevent chickenpox infection in individuals aged 9 months and above.
How to give VARILRIX?
VARILRIX will be administered subcutaneously or, into the muscle in either the arm or outer thigh region.
Is varicella same as VARILRIX?
Varilrix® is a vaccine made with a weakened version of the varicella zoster virus designed to safeguard children and adults against infection.
How effective is VARILRIX?
According to studies conducted in scenarios like outbreaks, case-control studies, and database analysis, the efficacy of a single dose of VARILRIX falls between 20% and 92% in preventing any form of varicella disease and between 86% and 100% in preventing moderate to severe cases.
Is the Varilrix vaccine live?
However, since it is a vaccine containing a weakened form of the chickenpox virus, certain individuals are advised against using it.