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How do you approach methotrexate management around vaccines other than COVID and influenza?

Data is clear that we should hold methotrexate at least one week after COVID and flu vaccines. How do you approach methotrexate management around Shingrix or Pneumovax?
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How do you approach methotrexate management around shingles and pneumoccocal vaccines?

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1 Answer
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Rheumatology · Washington University Physicians
Answered on

The COVID pandemic has highlighted impaired vaccine responses in our patient populations and current data was nicely summarized in Friedman et al., PMID: 34493491.

Evidence had preceded the pandemic regarding diminished response to pneumococcal vaccination in patients with RA on methotrexate. My appr...

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