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Home/Services/Travel Vaccinations/Hepatitis A + B Combined (Twinrix)

Hepatitis A + B Combined (Twinrix)

Dual protection against Hepatitis A and Hepatitis B in a single injection series using Twinrix. Standard and rapid schedules available.

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GPhC Regulated Same-Day Slots Zero GP Waiting List From £75.00
Hepatitis A + B Combined (Twinrix) - In-Person Pharmacy Consultation
Clinical Overview

What is Hepatitis A + B Combined (Twinrix)?

Dual infection risks from both Hepatitis A (transmitted through food and water) and Hepatitis B (transmitted through blood and bodily fluids) exist in many developing and tropical travel destinations across Africa, Asia, Latin America, and Eastern Europe. The combined Hepatitis A and Hepatitis B vaccine (Twinrix) offers streamlined dual protection in a single injection, minimizing the total number of visits and injections required. The standard schedule consists of three doses administered at 0, 1, and 6 months. For travellers with imminent departure dates, an accelerated course (doses given at Day 0, Day 7, and Day 21, followed by a fourth dose at 12 months) provides rapid, reliable immunity.

Eligibility & Suitability

Who is Hepatitis A + B Combined (Twinrix) for?

  • Eligible: Adults and children aged 1 year and older seeking combined immunization against both hepatitis A and hepatitis B viruses before travelling to risk destinations.
  • Contraindications: Severe allergy to previous doses of hepatitis A or B vaccines or any excipients (including neomycin or yeast).
Indications & Symptoms

When should I consider Hepatitis A + B Combined (Twinrix)?

  • When experiencing early or ongoing symptoms related to Hepatitis A + B Combined (Twinrix) requiring professional evaluation.
  • When seeking prompt treatment or licensed prescription supply before symptoms escalate.
  • For preventive clinical screening, routine monitoring, or required travel health protection.
Appointment Process

What happens during the appointment?

Your consultation is carried out in a soundproof, private consultation suite by a qualified healthcare professional.

01

Confidential Clinical Consultation

Your consultation begins in a soundproof, private clinic room inside the pharmacy. Your pharmacist reviews your symptom history, existing medications, and individual requirements.

02

Targeted Examination & Triage

Your clinician carries out diagnostic checks or vital signs triage tailored to Hepatitis A + B Combined (Twinrix) in line with UK clinical standards and NICE protocols.

03

Prescription Supply or Clinical Procedure

If treatment is clinically indicated, your prescribing pharmacist issues the prescription and supplies or administers your treatment on the spot.

04

Personalised Aftercare & GP Sync

You will receive comprehensive instructions on recovery, expected timelines, and when to seek medical advice. An electronic clinical notification is shared with your registered NHS GP practice.

Clinical Details

Important Hepatitis A + B Combined (Twinrix) Information

Doses & Timing

Single dose administered annually ahead of the winter flu season. Immunity develops in approximately 10–14 days.

Possible Side Effects

  • •Mild soreness, redness, or slight swelling at the injection site (very common, resolves in 24–48 hours).
  • •Low-grade fever, mild headache, or general tiredness as your immune response develops.
  • •Mild muscle or joint aches, which can be managed with paracetamol if appropriate.

Follow-Up & Monitoring

If symptoms persist, fail to improve within the expected timeframe, or if regular monitoring is required, book a follow-up consultation with your pharmacy team or contact your GP.

Important Safety Information

  • •If you experience red-flag emergency symptoms such as severe breathing difficulty, chest pain, sudden facial swelling, or heavy blood loss, call 999 or attend your nearest A&E immediately.
  • •Always inform your pharmacist of all existing prescription drugs, over-the-counter supplements, and drug allergies before treatment is dispensed.
  • •If your condition fails to improve within the expected clinical timeline or worsens unexpectedly, contact the pharmacy clinic or call NHS 111.
Private

Private Clinical Consultation

This is a private clinical service provided by accredited independent pharmacist prescribers. You receive direct access without GP referral or waiting lists, with transparent upfront pricing.

Direct notification shared with your NHS GP surgery for clinical records continuity.
Transparent Pricing
From £75.00per consultation

All private consultations include face-to-face evaluation in a private suite, diagnostic triage, prescribing assessment, and aftercare guidance. Zero hidden booking fees.

Local Provider Directory

Find Hepatitis A + B Combined (Twinrix) Near You

4 verified providers available

Newmans Pharmacy

Private Clinic

376 BARKING ROAD, PLAISTOW, LONDON • E13 8HL

From £75.00•15 mins•★ 5
Book Appointment

Massingham chemist

Private Clinic

197-199 ROMAN ROAD, LONDON, BETHNAL GREEN, E2 0QY, LONDON • E2 0QY

From £65.00•15 mins•★ 4.4
Book Appointment

Whitmore Pharmacy

Private Clinic

418 WHITMORE WAY, BASILDON • SS14 2HB

From £75.00•15 mins
Book Appointment

Parnell Pharmacy

Private Clinic

625-627 ROMAN ROAD, LONDON • E3 2RN

From £85.00•15 mins
Book Appointment
Preparation

Before Your Appointment

Follow these simple steps before attending the clinic:

  • 1
    Consult our travel pharmacist at least 4 to 6 weeks before departure to initiate the course.
  • 2
    Wear loose short-sleeved clothing.
  • 3
    Bring your travel itinerary and past vaccination records.
Recovery & Safety Net

After Your Appointment

Clinical advice for ongoing recovery and support:

  • Adhere strictly to your scheduled booster appointment dates to ensure full seroconversion for both viral components.
  • Mild local redness, soreness, and brief headache or fatigue may occur.
  • Take paracetamol if needed.
Clear Guidance

Frequently Asked Questions

Clinical guidance on consultations, eligibility, and prescription dispensing.

Dual infection risks from both Hepatitis A (transmitted through food and water) and Hepatitis B (transmitted through blood and bodily fluids) exist in many developing and tropical travel destinations across Africa, Asia, Latin America, and Eastern Europe.
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Local Coverage

Explore Hepatitis A + B Combined (Twinrix) Clinics by City

SANDWICHLONDONSouth ockendonEXETERHORNCHURCHBASILDONRUSHDEN

Clinical Governance & Authoritative Sources

Reviewed: September 2026 • Clinically Verified

NextDoorClinic content is developed in collaboration with registered UK pharmacy prescribers and based on evidence-based UK clinical commissioning standards and clinical practice guidance:

TravelHealthPro (National Travel Health Network and Centre - NaTHNaC)Reviewed by: Travel Medicine Clinical Panel
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UK Health Security Agency (UKHSA) The Green Book: Immunisation against infectious diseaseReviewed by: UKHSA Immunisation Clinical Lead
Visit source
Medical Disclaimer: Information provided on this directory is for patient educational and appointment signposting purposes and does not substitute for face-to-face medical consultation. Always consult a qualified healthcare professional regarding any medical concerns. If experiencing life-threatening symptoms, dial 999 immediately.