Coronavirus (COVID-19) Medication Advice for Rheumatology Patients

If you have Rheumatoid Arthritis, Psoriatic Arthritis or Ankylosing Spondylitis and are on biologic drugs  (including Baricitinib and Tofacitinib)

1. You should stop these drugs immediately if you develop any fever (feeling shivery), sore throat or cough
2. It the outbreak spreads you may be advised to stop treatment even if you are well
3. Methotrexate and Leflunomide should only  be stopped if you are unwell with a fever. You will need special treatment to remove Leflunomide from your body if you are unwell enough to need to come to hospital. 

If you have Lupus (SLE) and are on Azathioprine or Mycophenolate it is important not to stop these unless you are clearly unwell (have fever) and have been advised to do so by a medical professional. Please contact us.

Sulphasalazine and Hydroxychloroquine are not immunosuppressant drugs and can be continued even if you are unwell.

For all patients we believe NSAIDs (Ibuprofen, Naproxen, Etoricoxib) can make COVID-19 infection worse. Therefore if you are unwell you should try and stop these drugs but you do not need to stop them is you are well.

This advice may change as  new information becomes available.

You may also find advice at https://www.versusarthritis.org/news/2020/march/coronavirus-covid-19-what-is-it-and-where-to-go-for-information/

 

Contact details

To change or cancel an appointment please contact the outpatients department on 020 8510 5544.

Rheumatology patient helpline
Mondays to Fridays 9am to 5pm
tel: 07917 521117

Rheumatology Secretaries
Monday to Friday 9am - 5pm
tel: 020 8510 7612
fax: 020 8510 7574

Rheumatology Secretaries
Monday to  Friday 9am - 5pm
tel: 020 8510 7612
fax: 020 8510 757

Rheumatology

We deal with the diagnosis and management of acute and chronic inflammatory conditions. We also deal with neck/back pain, soft tissue problems and shoulder disorders, although initial referral for management of these conditions is usually to the Locomotor Service.

Other conditions that we manage include osteoarthritis, gout, bone disorders such as osteoporosis, osteomalacia and Paget’s disease.

Treatments are mainly based in the outpatients department and on the medical day unit. We work closely with physiotherapists and occupational therapists within the hospital and the Primary Care Trust.

Acute and chronic inflammatory conditions
These include rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, polymyalgia rheumatica, and systemic autoimmune disorders such as systemic lupus erythematosus (SLE), antiphospholipid syndrome, Sjogren’s syndrome, scleroderma, inflammatory myopathies and vasculitis.

Most conditions are assessed in the rheumatology outpatient clinics. In clinic, patients have the opportunity to discuss other coping strategies to improve their health including exercise and alternative therapies, hydrotherapy, occupational therapy and podiatry.

The need for social service intervention is also discussed and if necessary an immediate referral to the appropriate health professional is made.

Appointments

Appointments and referrals can be made by you or your GP via The Electronic Referral Service (e-RS). This is Homerton's preferred method of receiving referrals.

For straightforward neck/back/shoulder/other soft tissue problems, initial referral via the City and Hackney Locomotor service is suggested. Patients will be referred on to us if thought appropriate at triage by the Locomotor Service or following assessment/treatment if necessary.