🏵 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