meningococcal polysaccharide diphtheria toxoid conjugate vaccine

Absorption: Well absorbed from IM sites.

Distribution: Unknown.

Metabolism/Excretion: Unknown.

Half-Life: Unknown.

Time/Action Profile ⬆ ⬇

(antibody presence)

ROUTE	ONSET	PEAK	DURATION
IM	unknown	4 wk	unknown

Contraind./Precautions ⬆ ⬇

Contraindicated in:

Hypersensitivity to meningococcal polysaccharide, diphtheria toxoid or latex;
Bleeding disorders (hemophilia, thrombocytopenia, concurrent anticoagulants), unless precautions are taken;
Latex allergy (stopper contains latex).

Use Cautiously in:

Guillain-Barré syndrome
OB: Use during pregnancy only if clearly needed (pregnancy registry participation recommended);
Lactation: Use while breastfeeding only if clearly needed;
Pedi: Children <9 mo (safety and effectiveness not established);
Geri: Safety not established.

Adv. Reactions/Side Effects ⬆ ⬇

GI: diarrhea (Menveo), anorexia, vomiting (Menveo)

Local: pain at injection site, induration, redness, swelling

MS: arthralgia

Neuro: irritability (Menveo), fatigue, headache, malaise, syncope (Menveo)

Resp: apnea in premature infants (Menveo)

Misc: Guillain Barré Syndrome, ANAPHYLAXIS (MENVEO), chills

Interactions ⬆ ⬇

Drug-drug:

Immunosuppressants, antineoplastics, or radiation therapy may ↓ antibody response to and ↑ risk of adverse reactions from vaccines.
May ↓ response to pneumococcal vaccine when concurrently administered

Route/Dosage ⬆ ⬇

Menactra

IM (Adults and Children 2–55 yr): 0.5 mL single dose.
IM (Children 9–23 mo): 0.5 mL initially, then 0.5 mL 3 mo later.

Menveo

IM (Adults and Children 11–55 yr): 0.5 mL single dose.
IM (Children 2–10 yr): 0.5 mL single dose; if patients 2–5 yr are at continued high risk for meningococcal disease, may administer another dose at 2 mo after the first dose.
IM (Children 7–23 mo): 0.5 mL initially, then 0.5 mL in the second yr of life and ≥3 mo after the first dose.
IM (Children 2 mo): 0.5 mL administered at 2, 4, 6, and 12 mo of age.

Availability ⬆ ⬇

Solution for injection: 0.5 mL/vial

Assessment ⬆ ⬇

Review patient's immunization history for contraindications and history of sensitivity to vaccine, a similar vaccine, or latex. Stopper of Menactra vial contains dry natural latex, which may cause allergic reactions in latex-sensitive patients.
Monitor patient receiving Menveo for at least 15 min following injection for syncope or allergic reactions.

Implementation ⬆ ⬇

Record date, lot number, and manufacturer of vaccine as part of immunization record.
IM: Menactra: Administer as a single IM dose, preferably in deltoid. Do not administer IV, SUBQ, or intradermally. Inspect solution prior to administration. Do not administer if solution is discolored or contains particulate matter. Do not mix with other vaccines. If administered concurrently with other vaccines, administer a in different sites.
- Menveo: Combine 2 vials prior to administration. Reconstitute MenA lyophilized conjugate vaccine component with MenCYW-135 liquid conjugate vaccine component by withdrawing entire contents of vial of MenCYW-135 liquid conjugate component and inject into MenA lyophilized conjugate component vial. Invert and shake vial well until the vaccine is dissolved. Withdraw 0.5 mL of reconstituted product; small amount of liquid may remain in vial following withdrawal of dose. Vaccine is clear, colorless, and free from visible foreign particles. Do not administer solutions that are discolored or contain particulate matter. Administer reconstituted vaccine immediately; vaccine is stable at room temperature for up to 8 hours. Inject in anterolateral aspect of thigh in infants or into deltoid muscle in toddlers, adolescents and adults. Do not administer intravenously, SUBQ or intradermally.

Patient/Family Teaching ⬆ ⬇

Inform patient of purpose of vaccine.
Rep: Advise females of reproductive potential to notify health care professional if pregnancy is planned or suspected or if breastfeeding prior to administration. Patients who are pregnant or become aware they were pregnant the time of the Menactra immunization, should contact health care professional or Sanofi Pasteur Inc. at 1-800-822-2463 for information about the Pregnancy Exposure Registry.

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Pronunciation ⬇

Classifications ⬆ ⬇

Indications ⬆ ⬇

Action ⬆ ⬇

Pharmacokinetics ⬆ ⬇