Vaccine
Cholera vaccine (live attenuated, oral)
Brand names: Vaxchora
Adult dose
Dose: Single oral dose ≥10 days before potential exposure
Route: PO
Frequency: once
Clinical pearls
- Live attenuated CVD 103-HgR strain; rapid protection (~10 days)
Contraindications
- Immunosuppression
- Pregnancy unless benefit > risk
Side effects
- Tiredness
- Headache
- Abdominal pain
Interactions
- Avoid antibiotics 14 days before to 10 days after
- Hypochlorhydria reduces efficacy
Reference: BNF; UK Green Book; https://bnf.nice.org.uk/drugs/cholera-vaccine-live/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Drugs
Pathways
- Infective Endocarditis · ESC 2023 Infective Endocarditis Guidelines; NICE NG41
- Eczema Herpeticum · BAD; NICE CKS
- Suspected Bacterial Meningitis (Adult) · NICE NG240 (2024); NICE NG143 (paeds)
- Clostridioides difficile Colitis · NICE NG199 (2021); IDSA/SHEA 2021
- Returning Traveller — Fever · NaTHNaC; PHE; ESCMID 2018
- Malaria — Diagnosis & Management · PHE 2016; WHO 2023