quinvaxem vaccine - Diphtheria Toxoid (30IU) + Tetanus Toxoid (60IU) medicine

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🏭 Novartis India Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
🤰 Pregnancy Category This vaccine is recommended during pregnancy to prevent maternal and neonatal tetanus. It is considered safe and effective. Consult your doctor for the appropriate timing according to national guidelines. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Well-established
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

When to Call Your Doctor IMMEDIATELY

  • Difficulty breathing or wheezing after vaccination
  • Swelling of the face, lips, tongue, or throat
  • Severe rash or hives all over the body
  • High fever above 39°C that does not respond to medication
  • Seizures or convulsions
  • Inconsolable crying lasting more than 3 hours in infants
  • Weakness or tingling in the limbs

If experiencing severe symptoms, call emergency services immediately.

What is quinvaxem vaccine used for?

This medicine is a combined vaccine that protects against diphtheria and tetanus. It is given as an intramuscular injection by a healthcare professional. It is used for routine immunization in children, booster doses in adults, and for pregnant women to prevent maternal and neonatal tetanus.

  • Generic Name: Diphtheria Toxoid (30IU) + Tetanus Toxoid (60IU)
  • Manufacturer: Novartis India Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 quinvaxem vaccine के बारे में (Hindi Summary)

उपयोग: यह दवा डिप्थीरिया और टिटनेस से बचाव के लिए एक संयुक्त टीका है। यह इंजेक्शन के रूप में दिया जाता है। यह बच्चों के नियमित टीकाकरण, बूस्टर डोज़ और गर्भवती महिलाओं में टिटनेस से बचाव के लिए उपयोग किया जाता है।

साइड इफेक्ट्स: आम दुष्प्रभावों में इंजेक्शन की जगह पर दर्द, लालिमा, सूजन, हल्का बुखार और थकान शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी, दौरे या तंत्रिका संबंधी समस्याएं हो सकती हैं। किसी भी असामान्य लक्षण पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: यह टीका केवल योग्य स्वास्थ्यकर्मी द्वारा ही दिया जाना चाहिए। यदि आपको पहले किसी टीके से एलर्जी हुई है या आपको तेज बुखार है, तो डॉक्टर को बताएं। टीकाकरण के बाद 15 मिनट तक क्लिनिक पर रुकें। इंजेक्शन की जगह को मलें नहीं। किसी भी असामान्य लक्षण की सूचना तुरंत डॉक्टर को दें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 quinvaxem vaccine Uses & Benefits

[{"condition":"Diphtheria prevention","description":"Protects against diphtheria, a serious bacterial infection affecting the throat and sometimes the skin, heart, and nerves.","evidence":"Well-established"},{"condition":"Tetanus prevention","description":"Protects against tetanus, a life-threatening condition caused by a toxin that leads to severe muscle stiffness and spasms.","evidence":"Well-established"},{"condition":"Maternal and neonatal tetanus prevention","description":"Given to pregnant women to prevent tetanus in both the mother and the newborn baby.","evidence":"Well-established"}]

Off-label uses: []

Primary treatment for: Diphtheria and Tetanus

📋 Drug Information

Generic Name(s)Diphtheria Toxoid (30IU) + Tetanus Toxoid (60IU)
Brand Namequinvaxem vaccine
ManufacturerNovartis India Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassVACCINES
Action Class
Route of AdministrationParenteral (intramuscular injection)
StorageStore in a refrigerator at 2°C to 8°C. Do not freeze. Protect from light. Keep out of reach of children.
Shelf Life24 months from the date of manufacture.
WHO GuidelineThe World Health Organization recommends routine immunization with diphtheria-tetanus toxoid vaccines for children and booster doses for adolescents and adults, including pregnant women.
ICMR GuidelineThe Indian Council of Medical Research supports the use of diphtheria-tetanus toxoid vaccines as per the National Immunization Schedule of India.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Administer the vaccine intramuscularly in the deltoid muscle for adults and older children, and in the anterolateral thigh for infants.
2
Observe the patient for at least 15 minutes after vaccination to monitor for any immediate allergic reactions.
3
Ensure the vaccine is stored at 2°C to 8°C and not frozen; check the expiry date before use.
4
For patients on anticoagulants, use a 23-gauge or finer needle and apply pressure without rubbing after injection.
5
Document the vaccination in the patient's immunization record and provide the next due date.
6
Advise patients to report any severe reaction or persistent symptoms promptly.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Need for diphtheria and tetanus immunization
This vaccine is indicated for routine immunization.
Likely Use
Active infection with diphtheria or tetanus
This vaccine is for prevention, not treatment of active infection.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionNot applicable. This vaccine is administered by intramuscular injection and does not undergo absorption like oral medicines.
DistributionNot applicable. The vaccine components act locally at the injection site and in nearby lymph nodes to stimulate an immune response.
Protein BindingNot established from the available information.
MetabolismNot applicable. The toxoids are not metabolized like conventional drugs; they are processed by the immune system.
Half-LifeNot applicable. The vaccine does not have a plasma half-life; its effect is mediated by the immune response.
ExcretionNot applicable. The vaccine components are not excreted unchanged; they are taken up and processed by immune cells.
BioavailabilityNot applicable. The vaccine is injected directly, so there is no absorption phase.
Onset of ActionProtective antibodies begin to develop within a few days after vaccination, but full protection requires completion of the recommended series and takes about 2 weeks after the final dose.
Peak Plasma TimeNot applicable. The vaccine does not achieve a plasma concentration; antibody titers peak several weeks after vaccination.
Duration of ActionProtection lasts for several years after a complete primary series, but booster doses are needed every 10 years to maintain immunity.

How It Works

This vaccine contains inactivated diphtheria and tetanus toxins (toxoids) that are chemically treated to remove their harmful effects while retaining their ability to stimulate an immune response. When injected, the immune system recognizes these toxoids as foreign and produces specific antibodies against them. It also creates memory cells that provide long-term protection. If the person is later exposed to the actual bacteria or their toxins, these antibodies quickly neutralize them, preventing disease.

Mechanism Steps

1
Antigen recognition: The inactivated toxoids are recognized as foreign antigens by antigen-presenting cells.
2
Immune activation: These cells process and present the antigens to T-helper cells, which then activate B-cells.
3
Antibody production: Activated B-cells produce specific antibodies (IgG) against diphtheria and tetanus toxins.
4
Memory formation: Some B-cells become memory cells, providing long-term immunity and faster response upon future exposure.

💡 How to Take quinvaxem vaccine

Strength: Injection: Diphtheria Toxoid 30 IU + Tetanus Toxoid 60 IU per 0.5 mL dose.

1This vaccine is given by a healthcare professional as an intramuscular injection, usually in the upper arm or thigh.
2No special preparation is needed before vaccination.
3After injection, remain at the clinic for 15 minutes for observation.
4Do not massage the injection site.
5Follow your doctor's instructions for follow-up doses.

Dosage Information

Adult DosageThe standard adult dose is 0.5 mL given as a single intramuscular injection. For primary immunization, a series of doses may be required as per national guidelines. Booster doses are recommended every 10 years. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician for the appropriate schedule.
Elderly DosageThe same adult dose of 0.5 mL is used for elderly patients. No specific dose adjustment is required. Consult a doctor for individual recommendations.
Renal ImpairmentNo dose adjustment is required for renal impairment. Consult a doctor for guidance.
Hepatic ImpairmentNo dose adjustment is required for hepatic impairment. Consult a doctor for guidance.
Maximum Daily DoseNot applicable. This vaccine is given as a single dose per schedule, not daily.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

⏰ What to Do If You Miss a Dose

📌 You miss a scheduled dose
→ Contact your doctor as soon as possible to reschedule.
💡 Do not skip doses; complete the series for full protection.

⚠️ Side Effects of quinvaxem vaccine

✅ Common Side Effects

Injection site pain (Common (up to 50%))
Apply a cold compress to the area. It usually resolves within 1-2 days.
Injection site redness or swelling (Common (up to 30%))
Do not massage. A cold compress can help. Consult a doctor if it worsens.
Mild fever (Common (up to 20%))
Take paracetamol as advised by your doctor. Drink plenty of fluids.
Fatigue (Common (up to 15%))
Rest and stay hydrated. It usually subsides within a day.
Irritability in infants (Common (up to 20%))
Comfort the baby. Consult a pediatrician if crying is inconsolable or lasts more than 3 hours.

🚨 Serious Side Effects

Anaphylaxis (severe allergic reaction) (Rare (<0.01%))
Seek immediate medical attention if you notice difficulty breathing, swelling of face or throat, or a severe rash.
Seizures (Rare (<0.01%))
Call emergency services if a seizure occurs.
Brachial neuritis (Very rare (<0.001%))
Report persistent arm pain or weakness to your doctor.
Guillain-Barré syndrome (Very rare (<0.001%))
Seek immediate medical attention if you experience progressive weakness or tingling in the limbs.

⚠️ Rare Side Effects

Prolonged crying in infants
Consult a pediatrician if crying lasts more than 3 hours.
High fever (>39°C)
Give paracetamol as advised and consult a doctor if fever persists.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Immunosuppressants Major
Anticoagulants Moderate

🚨 Major Interactions

  • Immunosuppressive therapy (e.g., high-dose corticosteroids, chemotherapy, radiation)

⚡ Moderate Interactions

  • Anticoagulants (e.g., warfarin, heparin)

🍷 Alcohol Interaction

No known interaction with alcohol. However, alcohol may worsen dehydration or fever if present. It is advisable to avoid excessive alcohol consumption after vaccination.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Severe allergic reaction to a previous dose of diphtheria or tetanus toxoid vaccine.","Known allergy to any component of the vaccine.","Acute severe febrile illness (vaccination should be postponed)."]

⚠️ Warnings & Precautions

["This vaccine must be administered by a qualified healthcare professional.","Inform your doctor if you have a bleeding disorder or are on blood thinners.","Do not use if the vaccine vial is damaged or expired.","Immunocompromised individuals may have a reduced response.","Keep a record of vaccination for future reference."]

🤱 Lactation Safety

This vaccine is considered safe during breastfeeding. It does not affect the safety of breast milk. Consult your doctor for guidance.

💊 Overdose Management

Overdose is unlikely as the vaccine is given as a single dose by a healthcare professional. In case of accidental overdose, seek immediate medical attention and monitor for adverse reactions.

⏰ Missed Dose

If you miss a scheduled dose, contact your doctor as soon as possible to reschedule. Do not skip doses; complete the recommended series for full protection.

Additional Safety Advice

General Safety

This vaccine must be given by a healthcare professional only. Inform your doctor about any allergies, previous reactions to vaccines, or if you have a bleeding disorder or are on blood-thinning medications. Do not receive this vaccine if you have a high fever; wait until you recover. Pregnant women should receive this vaccine as per national immunization schedules. After vaccination, stay at the clinic for at least 15 minutes for observation. Do not massage the injection site. Use a cold compress if there is pain or swelling. Report any unusual symptoms to your doctor promptly.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly individuals should receive booster doses every 10 years. No specific dose adjustment is needed. Consult a doctor for individual recommendations.

🤰 Pregnancy Planning (TTC)

This vaccine is recommended during pregnancy to prevent maternal and neonatal tetanus. If you are planning pregnancy, discuss your vaccination status with your doctor.

🏥 Post-Surgery Considerations

Vaccination can be given after surgery if the patient is stable and afebrile. Consult the treating doctor for timing.

🦷 Dental Procedures

No specific considerations for dental procedures. Inform your dentist about your vaccination status.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy diet to support immune function.
🥗
Stay up to date with recommended booster doses.
😴
Practice good hygiene to prevent infections.
💧
Keep a record of your vaccinations.
🧘
Consult your doctor if you have any concerns about vaccination.

🏋️ Exercise Considerations

No specific exercise restrictions after vaccination. However, if you feel unwell or have a fever, rest and avoid strenuous activity until you recover.

🥗 Diet Recommendations

Stay well hydrated.
Eat a balanced diet rich in fruits and vegetables.
Avoid excessive alcohol consumption.

💼 Impact on Daily Work & Life

Most people can resume normal activities immediately after vaccination. If you experience fever or fatigue, take rest and avoid driving or operating machinery if you feel unwell.

🛑 When to Stop This Medicine

Do not stop the vaccination series without consulting your doctor. Complete the recommended schedule for full protection.

📅 Long-Term Use Effects

Long-term protection against diphtheria and tetanus is achieved after completing the primary series and booster doses. Immunity may wane over time, so booster doses are recommended every 10 years. No long-term adverse effects are known.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Tetanus Toxoid Vaccine alone

Provides protection against tetanus only, not diphtheria.

Evidence: Well-established
Diphtheria-Tetanus Toxoid Vaccine (DT)

Similar combination but may have different strengths for children.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This vaccine can be given simultaneously with other vaccines at different injection sites. Inform your doctor about all vaccines received recently.

📦 Storage Guide

✅ DO

Store in a refrigerator at 2°C to 8°C

❌ DON'T

Do not freeze

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Protect from light

❌ DON'T

Do not expose to direct sunlight

✈️ Traveling with This Medicine

When traveling, carry the vaccine in its original packaging with a prescription or medical certificate. Store it in a cool bag with ice packs to maintain the cold chain (2°C to 8°C). Do not freeze. Check customs regulations for carrying medical products. If you need a booster while abroad, consult a local healthcare provider.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 28-year-old pregnant woman in her third trimester
She received this vaccine as part of routine antenatal care. She experienced mild soreness at the injection site and a low-grade fever for one day, which resolved with paracetamol. She delivered a healthy baby who is protected from tetanus.
💡 Lesson: This vaccine is safe and effective during pregnancy, protecting both mother and newborn.
👤 A 45-year-old man who stepped on a rusty nail
He had not received a tetanus booster in over 10 years. He was given this vaccine in the emergency room. He had no side effects and was advised to complete the booster schedule.
💡 Lesson: Timely vaccination after a tetanus-prone injury is crucial for prevention.

💬 Questions Patients Often Ask

Q: How long does it take for the vaccine to work?

A: Protective antibodies begin to develop within a few days, but full protection requires completion of the recommended series and takes about 2 weeks after the final dose.

Q: Is this vaccine safe during pregnancy?

A: Yes, this vaccine is recommended during pregnancy to protect both mother and newborn from tetanus. Consult your doctor for the appropriate timing.

Q: What are the common side effects?

A: Common side effects include pain, redness, or swelling at the injection site, mild fever, and fatigue. These usually resolve within a few days.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Is this vaccine safe for my baby?
  • Can I get this vaccine if I am pregnant?
  • What are the side effects I should watch for?
  • How long does the protection last?
  • Can I take this vaccine with other vaccines?
  • What should I do if I miss a dose?

🔄 Substitutes for quinvaxem vaccine

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This vaccine can cause autism.
    Fact: There is no scientific evidence linking this vaccine to autism. Multiple large studies have confirmed its safety.
  • Myth: This vaccine is not needed if you had tetanus as a child.
    Fact: Even if you had tetanus, you are not immune to future infections. Vaccination is still necessary.
  • Myth: This vaccine can cause severe illness.
    Fact: Severe reactions are extremely rare. Most side effects are mild and temporary.

🔄 Alternative Options

Brand Alternatives

  • Easyfive-TT Vaccine

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Diphtheria Toxoid 30 IU + Tetanus Toxoid 60 IU","route":"Intramuscular","use":"Diphtheria and tetanus prevention"},{"medicine":"Tetanus Toxoid Vaccine","composition":"Tetanus Toxoid only","route":"Intramuscular","use":"Tetanus prevention only"}]

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