I am having a SURGERY do I need to stop my Rheumatology medication? When can I re-start?

• Although it is safe to continue some DMARDs during the time of a surgery, some others may need be stopped at the discretion of the surgeon and/or after discussion with the Rheumatology team.
• Oral steroids (Prednisolone) should be taken at the lowest dose possible to reduce the risks of infection and delayed healing. Do not stop steroid tablets abruptly.Do not increase or reduce your dose without consultation with your GP or Rheumatology team.
• Biologic medication should be stopped before and after surgery under the advice of the Rheumatology team. Please seek advice from the Rheumatology Advice Line on how to do this, as different biologic medications have different time frames to stop.
• Once your wound has completely healed and free from infection you may start your treatment again. If you are on an intravenous biologic (e.g., Infliximab, Rituximab, Tocilizumab) please let us know if you are having surgery by contacting us and we can advise you further.