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post surgical humira use

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Hi all. I just got home from the hospital where my daughter had an

appendectomy yesterday. She is due for her Humira and MTX injections

tomorrow night. I have been advised to put these off for a couple of days

to allow her to heal. I'm not sure if I should just skip the week and give

her both these injections next Wednesday, or if I should wait until the

weekend and give them then. If I give them, say Saturday, does Saturday

become my new dosing day? Or can I give the shots again on Wednesday again

next week? My rheumatologist is out of the country for the next two weeks.

Thanks for your suggestions.

Lori

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Lori, sorry to hear about this latest development for (and you).

Unfortunately, there aren't any strict guidelines about perioperative use of

DMARDs and the biologics. On the one hand, you don't want to flare as

a result of withholding the drugs; on the other, you don't want to risk the

development of a serious infection by continuing them. And, obviously, this

was a unexpected surgery, so she probably still had/has some fair amount of

the drugs in her system.

Isn't there another rheumatologist covering for 's rheumatologist who

can advise you?

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

[ ] post surgical humira use

> Hi all. I just got home from the hospital where my daughter had an

> appendectomy yesterday. She is due for her Humira and MTX injections

> tomorrow night. I have been advised to put these off for a couple of days

> to allow her to heal. I'm not sure if I should just skip the week and

> give

> her both these injections next Wednesday, or if I should wait until the

> weekend and give them then. If I give them, say Saturday, does Saturday

> become my new dosing day? Or can I give the shots again on Wednesday

> again

> next week? My rheumatologist is out of the country for the next two

> weeks.

>

>

>

> Thanks for your suggestions.

>

>

>

> Lori

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