Generic Name and Formulations:
Oral typhoid vaccine live, attenuated strain Ty21a; e-c caps.
Indications for VIVOTIF:
Immunization against typhoid fever.
Adults and Children:
Do not crush or chew. Give 1 hour before a meal with cold or lukewarm (not >body temp) drink. Complete therapy at least 1 week before expected exposure; may repeat every 5yrs. <6yrs: not recommended. ≥6yrs: 1 cap every other day for a total of 4 doses.
Acute febrile or GI illness. Immunocompromised states. Concomitant antibiotics (suboptimal response).
Defer in active infection, fever, persistent diarrhea, or vomiting. Exposure to contaminated food and water should be avoided. Pregnancy (Cat.C). Nursing mothers.
Nausea, abdominal cramps, vomiting, rash, urticaria (all infrequent and transient).