Immunisation against rubella 

Reactions are usually mild and transcient. because the vaccine is slightly acidic patients may experience burning or stinging of short duration at the injection site.

Symptoms that normaly occur are- regional lymphadenopathy, urticaria, rash, malaise, sore throat, fecer, headache, polyneuritis, temporary arthalgia (infrequently associated with inflammatin). Local pain. induration and erythema may occur at the injection site.

CNS- encephalitis and other CNS reactions, erythema multiforme, optic neuritis and polyneuropathy (including Gullian-Borre syndrome ) may occur. Arthritis/arthalgia- chronic arthiritis has been associated with natural ribella infection.

Pregnancy. History of hypersensitivity reactions to this vaccine of any of the components, patients receiving immunosuppressive therapy, blood dyscrasis, leukemia, lymphoma of any type. or malignant neoplasms affecting the bone marrow or lymphatic systems, primary oracquired immunoficiency , active untreated tuberculosis, family history of congenital or heridiary immunodeficiency, until the immune competence of the potential vaccine receipent is demonstrated.

Do not vaccinate persons who are immunosuppressed in association with AIDs or other clinical manifestations of infection of HIV , cellular immnue deficiencies, and hypogammaglobulinemic and dysgammaglobulinemic states Defer imminuzation during the course of any acute illness.

Warnings-

Immunodeficiency- do not use in immnuodeficient persons, including persons with congenital or acquired immune deficiencies, whther due to genetics, disease or drug or radiation therapy.

Contains live virus. Nonetheless, routine immmnization of sympatomatic and asymptomatic HIV-infected persons with MMR is recommended.

Hypersensitivity- have epinephrine 1:1000 available to control immediate allergic reactions.

Pregnancy- Do not intentionally give attenuated rubella vaccine to pregnant females.

Lactation- Vacine- strain virus is secreted in breast milk and may be transmiitted infants. Children- Safe and effective for childen > 12 months of age. Vacination is not recommended for children < 12 months of age.

Immunisation against rubella

Dosage-

Inject total of reconstituted vaccine SC into outer aspect of the upper arm.. Do not inject IV or administer intranasally.

Missed dose-

1. If you miss a dose of this medicine, and remember it on the day it should be taken, take it as directed.

2. However, if you do not remember the mised dose until the next day,take the missed dose at that time and reschedule your every-other-day doses from then.

3. It is important that this vaccine be taken exactly as directed so that it can give you protection against Rubella.

Pharmacology-

Onset of rubella vaccine is 2 to 6 weeks. It induces HI antibodies in at least 97% of susceptible children.

Pregnancy-

Do not intentionally give attenuated rubella vaccine to pregnant females.

Lactation-

Vacine- strain virus is secreted in breast milk and may be transmiitted infants.

Children-

Safe and effective for childen > 12 months of age. Vacination is not recommended for children < 12 months of age.