Lymphoma Red Flags Sjogren — SCE Rheumatology MCQ
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Correct answer: C — Use 162 mg once weekly with a tapering glucocorticoid course
Explanation lettering: E = shown as B · B = shown as E
C is correct. The recommended GCA dose is tocilizumab 162 mg subcutaneously once weekly together with a tapering glucocorticoid course. Tocilizumab may continue alone once steroids are withdrawn. The alternative schedules either import rheumatoid-arthritis dose reductions, use unsupported frequencies or misapply the intravenous formulation.
Reference: RoActemra 162 mg pre-filled syringe SmPC: https://www.medicines.org.uk/emc/product/5357/smpc