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How to prepare for your upcoming procedure while on treatment

If you are on a DMARDs (Disease Modifying Anti-Rheumatic Drugs), such as hydroxychloroquine, sulfasalazine, methotrexate, or leflunomide and have an upcoming non-invasive surgery, such as colonoscopy, cataracts, gall bladder removal, or even dental work, you should not hold or discontinue treatment prior to surgery. You should continue treatment, otherwise, you will flare. If you are having spinal cord or brain surgery, then I recommend to my patients to hold any DMARD, except hydroxychloroquine, at least one week before surgery.

If you are on a small particle or biologic DMARD, such as Xeljanz, Enbrel, Humira, Remicade, Cimzia, Simponi or Actemra, you should then discuss with your rheumatologist and ask how long told to hold your medication before surgery.