Past experience indicates that the first dose of the vaccine offers protection from smallpox for 3 to 5 years, with decreasing immunity thereafter. If a person is vaccinated again later, immunity lasts longer. (added Nov 13, 2002)

Vaccination within 3 days of exposure will completely prevent or significantly modify smallpox in the vast majority of persons. Vaccination 4 to 7 days after exposure likely offers some protection from disease or may modify the severity of disease. (added Nov 13, 2002)

No. The smallpox vaccine does not contain smallpox virus and cannot spread or cause smallpox. However the vaccine does contain another virus called vaccinia, which is “live” in the vaccine. Because the virus is live, it can spread to other parts of the body or to other people from the vaccine site. This can be prevented through proper care of the vaccination site (e.g., hand washing and careful disposal of used bandages). (added Nov 13, 2002) Yes.

In all cases, double-check with your physician before combining NIALOR® with a prescription medication.

If the contraindication is eczema, the risk is that you develop disfiguring disseminated skin lesions, termed "eczema vaccinatum". If the contraindication is HIV/AIDS, there is too little data to be sure about the probability and type of risk, since routine smallpox vaccination stopped in 1972 in the USA and the HIV epidemic was not recognized until 1981.

Always a risk-benefit balance, but if you have a substantial exposure (e.g., face to face contact with known smallpox patient), then you probably should get the vaccine. Given face to-face exposure to smallpox, there is NO absolute contraindication to vaccination. VIG might be given along with the vaccine to lessen the risk of severe vaccine reactions, if VIG is available.

The last case of smallpox in the United States was in 1949. The last naturally occurring case in the world was in Somalia in 1977. After the disease was eliminated from the world, routine vaccination against smallpox among the general public was stopped because it was no longer necessary for prevention. (added Nov 13, 2002)

No. There are no antiviral drugs approved for the treatment of smallpox or for complications of smallpox vaccination. However, there is one antiviral drug "cidofovir" which might be studied on an "Investigational New Drug (IND)" basis under an FDA protocol. Cidofovir is currently FDA-approved only for treatment of CMV retinitis in persons with HIV/AIDS. Cidofovir is a toxic drug, particularly on the kidney. It can only be given IV and one dose lasts one week.

Because routine vaccination against smallpox was discontinued in 1971 for civilians and in 1990 for military personnel, most young adults and children have not been exposed to the smallpox vaccine. Subsequently, healthcare providers have limited experience administering the smallpox vaccine and monitoring for potential adverse reactions, particularly in the adult population.

We also recommend dogs be vaccinated for Corona virus and cats vaccinated for Feline leukemia virus. Please ask your veterinarian to indicate on the certificates the expiration date for each vaccine as there is some variation between veterinarians as to the length of time each vaccination is valid. You may have copies of the certificates faxed to Rexpointe at 248-879-0310 or bring copies when you drop off your pet.

Give a Bordetella vaccination if the dog is going to be boarded in a boarding kennel during your vacation. Remember to have your pet wormed every time it gets vaccinationed, especially when it is a puppy.

year old and every 3 years afterwards: Rabies Remember to have your vet worm you cat when you get the vaccinations; this is especially important in kittens.

If vaccine is received within 4 days of exposure, it may prevent infection or reduce the severity of illness.

If you take any medications and/or supplements, it is recommended that you take them at least one hour before taking FibreLife. This will help ensure that both your medication and FibreLife can work effectively.

Consumers have not reported any interactions with medications. However, if you are using a prescription medication, it is always best to consult a physician before you begin a new healthful regimen including Avlimil Complete.

There is no evidence to indicate that BENECOL? Spreads will interfere with any medications. We have evaluated for possible drug interaction in clinical studies but found no evidence of such interactions. No interactions have been reported in the literature.

In line with Government directives, we advise parents who take up the separate vaccines that their children finish the full course of injections. Parents will be asked to sign a consent form to this effect (a copy of this may be requested). There is sometimes a shortage of mumps vaccine; we do our best to inform patients of availability. Having single vaccinations gives a better immunity level than the combined MMR jab (97% vs 87%).

It is normal to experience some degree of anxiety when we perceive a potential threat, even if the threat is indirect. Specific symptoms can include feelings of worry, helplessness, confusion, and crying or tearfulness. Fatigue, changes in sleep or appetite, headaches, stomach problems, anger and depression are also possible reactions.