5 Dupixent Interactions: What To Avoid When You’re Taking Dupixent

Alan Lucks | MD

Medically reviewed by Alan Lucks | MD, Alan Lucks MDPC Private Practice - New York on January 5th, 2026.

Key Takeaways

  • Dupixent (dupilumab) interacts with certain medications and supplements that can affect its effectiveness or increase side effects.

  • Live vaccines should be avoided while on Dupixent due to immune system modulation.

  • Combining Dupixent with immunosuppressants or corticosteroids requires close medical supervision.

  • Alcohol and food do not have significant direct interactions with Dupixent, but overall health should be monitored.

  • Doctronic.ai offers personalized telehealth consultations to help manage interactions with Dupixent based on your medical history.

Understanding Dupixent Interactions for Safe Usage

Understanding how Dupixent interacts with other medications and lifestyle factors is important for anyone using this treatment. Dupixent, also called dupilumab, is a biologic medication used to treat conditions such as moderate-to-severe eczema, asthma, and chronic sinus issues with nasal polyps. It works by blocking specific proteins that drive inflammation, which helps calm the immune system. Because it affects immune function, being aware of possible interactions is essential for staying safe and getting the best results.

Patients should always tell their healthcare provider about all medications, supplements, and over-the-counter products they use. Some herbal supplements, such as St. John’s Wort, may interfere with how Dupixent works and could reduce its effectiveness. Vaccines are another important consideration. Certain vaccines, especially live vaccines, may need special timing while on Dupixent, so discussing vaccination plans with a provider is critical.

Since Dupixent changes how the immune system responds, patients may have a slightly higher risk of infections. Regular check-ups and paying attention to early signs of illness can help prevent complications. Lifestyle choices also matter. Smoking can worsen asthma symptoms, and maintaining a healthy diet, regular exercise, and good sleep can support overall immune health.

For personalized guidance, telehealth services like Doctronic.ai make it easy to review medications, vaccines, and lifestyle factors with licensed doctors, helping you use Dupixent safely and confidently.

1. Live Vaccines

Live vaccines contain weakened forms of viruses or bacteria and can pose risks when taken with Dupixent. Since Dupixent suppresses specific immune pathways, live vaccines may cause infections or reduce vaccine effectiveness.

Examples of live vaccines include the MMR (measles, mumps, rubella), varicella (chickenpox), and the live attenuated influenza vaccine (nasal spray). It is generally recommended to avoid live vaccines during Dupixent treatment and for some time after stopping the medication. Inactivated vaccines, like the flu shot, are considered safe but should still be discussed with your healthcare provider.

2. Immunosuppressants and Biologics

Combining Dupixent with other immunosuppressive drugs or biologics can increase the risk of infections or reduce the immune system’s ability to fight illness. Drugs such as methotrexate, cyclosporine, or other biologics like adalimumab require careful management.

Doctors may adjust dosages or monitor patients more closely if these medications are used together. Avoid self-medicating or combining treatments without professional guidance. Telehealth platforms like Doctronic.ai can help you review your medication list and provide personalized advice based on your health history.

3. Corticosteroids

Corticosteroids, whether oral, topical, or inhaled, are often prescribed alongside Dupixent to control inflammation. While this combination can be effective, it also raises the risk of side effects such as weakened immunity, increased blood sugar, or bone thinning.

A healthcare provider should closely supervise long-term use of corticosteroids with Dupixent. They may recommend tapering steroid doses as Dupixent takes effect. Never stop corticosteroids abruptly without medical advice.

4. Antibiotics

Dupixent itself does not have direct interactions with most antibiotics. However, if you develop an infection while on Dupixent, your doctor may prescribe antibiotics to treat it. It’s essential to inform your healthcare provider about your Dupixent treatment to avoid unnecessary drug interactions and monitor for potential side effects.

5. Antifungal Medications

Similar to antibiotics, antifungal drugs generally do not interfere directly with Dupixent. Still, infections requiring antifungal treatment may indicate changes in the immune system due to Dupixent. Always discuss any new medications with your doctor to ensure safe use.

Woman smiling while giving herself a subcutaneous injection in the abdomenDupixent Interactions With Supplements and OTC Medications

Some supplements and OTC medications can affect immune function or interact with prescription drugs. For example, high doses of vitamin D or herbal supplements like echinacea might influence inflammation or immune responses.

While there are no well-documented direct interactions between Dupixent and common supplements, it’s best to consult a healthcare professional before starting any new supplement. Personalized advice from services like Doctronic.ai can help you avoid risks based on your unique medical profile.

Dupixent and Alcohol

There is no known direct interaction between Dupixent and alcohol. However, alcohol can weaken your immune system and may exacerbate side effects such as dizziness or fatigue. Drinking in moderation and discussing alcohol use with your healthcare provider is advisable to maintain optimal health while on Dupixent.

Dupixent and Food Interactions

Dupixent has no significant food interactions. You can take it regardless of meals. Still, maintaining a balanced diet supports your immune system and overall well-being during treatment.

Avoiding Dupixent Interactions

To minimize risks, always inform your healthcare providers about all medications, supplements, and vaccines you are taking. Keep an updated list handy and review it regularly, especially before starting new treatments.

Using telehealth services like Doctronic.ai allows you to quickly discuss potential interactions and get personalized guidance without waiting for in-person appointments. This can be especially helpful if you experience new symptoms or need advice on medication adjustments.

When to Contact Your Doctor About Dupixent Interactions

Seek immediate medical attention if you experience signs of severe infection, such as high fever, persistent cough, or severe fatigue while on Dupixent. Also, report any unusual allergic reactions, such as rash, swelling, or difficulty breathing.

If you start any new medication or vaccine, consult your healthcare provider to ensure it’s safe with Dupixent. Telehealth platforms provide a convenient way to get timely advice and avoid complications.

Frequently Asked Questions

Inactivated vaccines are generally safe, but live vaccines should be avoided. Always check with your doctor before vaccination.

Moderate alcohol consumption is usually safe, but excessive drinking can weaken your immune system.

Contact your healthcare provider for instructions. Do not double-dose to catch up.

Some supplements may affect immune function. Discuss any supplements with your doctor before use.

Doctronic.ai offer affordable telehealth visits to review your medications and health history for tailored guidance.

References

The Bottom Line

Dupixent is a powerful medication that can significantly improve the quality of life for people with certain chronic inflammatory conditions. Understanding and avoiding potential drug interactions is key to safe and effective treatment. Always communicate openly with your healthcare team about all medications and supplements you use.

Doctronic.ai provides fast, expert advice tailored to your unique health profile. With unlimited access to knowledgeable doctors who are up to date on the latest in modern medicine, you can confidently manage your Dupixent treatment and avoid harmful interactions.

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