DRUG INTERACTIONS: Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

Some products that may interact with this vaccine include: "blood thinners" (e.g., warfarin), corticosteroids (e.g., hydrocortisone, prednisone), cancer chemotherapy, drugs that suppress the immune system (e.g., cyclosporine, tacrolimus), other vaccines (e.g., diphtheria/tetanus toxoids).

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly.

NOTES: There are various combinations of vaccines available. Based on your age, vaccination history, and previous reaction to vaccines, your health care professional will determine the most appropriate one for you. Discuss the risks and benefits of vaccination with your health care provider.

History of infection with tetanus or diphtheria does not always protect against future infections with these bacteria. You should still receive this vaccine if your doctor orders it for you.

MISSED DOSE: It is important to receive each vaccination as scheduled. Be sure to make a note of when the vaccination was last given for your medical record.

STORAGE: Not applicable. This vaccine is given in a doctor's office and will not be stored at home.

Information last revised July 2011. Copyright(c) 2011 First Databank, Inc.