ANTI #RHEUMATOID AGENTS PERIOPERATIVELY🎲

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🏵  METHOTREXATE: caution in elderly,respiratory-renal-hepatic dysfunction. CONSIDER STOPPING 1 WEEK BEFORE

🏵  SULFASALAZINE: withhold atleast on day of surgery; as elimination is primarily renal and as reduction GFR is possible perioperatively

🏵  AZATHIOPRINE: withhold on day of surgery

🏵  HYDROXYCHLOROQUINE : can continue perioperatively

🏵  LEFLUNOMIDE : decreased wound healing; but stopping <2months prior to surgery unlikely to be beneficial

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