Table 1.
Recommendations for perioperative use of targeted therapy in patients with SpA
| Drugs | Dosing interval | Recommended timing for elective surgery (since the last dose administered) |
|---|---|---|
| Infliximab | Every 4, 6, or 8 weeks | Week 5, 7, or 9 |
| Abatacept | Monthly (intravenous injection), or weekly (subcu- taneous injection) | Week 5 (intravenous injection), or week 2 (subcutaneous injection) |
| Certolizumab pegol | Every 2 or 4 weeks | Week 3, or 5 |
| Rituximab | 2 doses 2 weeks apart every 4~6 months | Month 5, or 7 |
| Tocilizumab | Every week (subcutaneous injection), or every 4 weeks (intravenous injection) | Week 2 (subcutaneous injection), or week 5 (intravenous injection) |
| Secukinumab | Every 4 weeks | Week 5 |
| Ustekinumab | Every 12 weeks | Week 13 |
| Ixekizumab | Every 4 weeks | Week 5 |
| Guselkumab | Every 8 weeks | Week 9 |
| Tofacitinib | Daily, or twice daily | Day 4 |
| Upadacitinib | Daily | Day 4 |