Methotrexate Shared Care Guidelines

Early Arthritis Clinic (EAC) – SASH Algorithim

Early Inflammatory Arthritis Clinic (EAC) Referral Pathway

Giant Cell Arteritis (GCA) Management Pathway

VACCINATIONS: We encourage all patients on immunosuppressant drugs (eg methotrexate) to have the yearly ‘flu vaccine and also the pneumonia vaccine. Live vaccines should generally be avoided by those on immunosuppressant therapy. More information can be found by following the link below to the British Society for Rheumatology guidelines on vaccinations.