Table 1.
What to do with rheumatic/gastroenterological immunosuppressive treatment in COVID-19- and COVID-19+ patients and infection-related risk.
Drugs | COVID-19 negative | COVID-19 positive | Infectious risk |
---|---|---|---|
Methotrexate | Continue | Discontinue | H |
Leflunomide | Continue | Discontinue | H |
Hydroxychloroquine | Continue | Continue | L |
Rituximab | Discontinue | Discontinue | VH |
Tocilizumab | Continue | Discontinue | H |
Sarilumab | Continue | Discontinue | H |
Anti-TNF-α agents | Continue | Discontinue | H |
Abatacept | Continue | Discontinue | H |
JAK inhibitors | Continue | Discontinue | H |
Anakinra | Continue | Discontinue | H |
Cyclophosphamide | Discontinue | Discontinue | VH |
Steroids* | Continue | Maintain low dosage | H |
Ustekinumab | Continue | Discontinue | H |
Baricitinb/Tofacitinib | Continue | Discontinue | H |
NSAIDs | Continue | On demand | NA |
Mesalazine | Continue | Continue | None |
Vedolizumab | Continue | Discontinue | H |
Azathioprine 6-mercaptopurine |
Continued | Discontinued | H |
Budesonide, Beclomethasone dipropionate | Continued | Continued | None |
Cyclosporine A | Continued | Discontinued | H |
*In the case of IBD relapse, consider systemic administration.
H high L low VH very high NA not assessed.