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Can infliximab affect other medications and treatments?

You'll probably be taking methotrexate as well as infliximab. Check with your doctor before starting any new medications, and always remember to mention you're on infliximab if you're treated by anyone other than your usual rheumatology team.

You can carry on taking non-steroidal anti-inflammatory drugs (NSAIDs) or painkillers if needed, unless your doctor advises otherwise.

Don't take over-the-counter preparations or herbal remedies without discussing this first with your healthcare team.

It's recommended that you carry a biological therapy alert card, which you can get from your doctor or rheumatology nurse, so that anyone treating you will know you’re on infliximab.

Can I have vaccinations while I'm on infliximab?

It's usually recommended that people on infliximab avoid live vaccines such as yellow fever. However, sometimes a live vaccine may be necessary – for example rubella vaccination in women of childbearing age.

If you're offered shingles vaccination (Zostavax) it's best if you can have it before starting on infliximab. Shingles vaccination isn't recommended for people who are already on infliximab.

Pneumococcal vaccinations (which give protection against the commonest cause of pneumonia) and yearly flu vaccines don't interact with infliximab and are recommended.

Can I continue with infliximab if I'm having an operation

Talk this over with your specialists. It's likely you will be advised to stop infliximab for a time before and after surgery.

For more information, go to www.arthritisresearchuk.org.
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