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DMARD infection advice — GPhC CRA MCQ

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ModerateMusculoskeletal TherapeuticsDMARD infection adviceGPhC CRA

A patient taking methotrexate and adalimumab asks whether a fever and productive cough should wait until the next rheumatology appointment. What would you advise the patient?

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Correct answer: BSeek prompt medical advice because immunosuppression increases infection risk

DMARDs and biologics can increase infection risk and alter presentation. Fever and productive cough warrant prompt medical assessment and advice about holding immunosuppressive treatment. Leftover antibiotics are inappropriate.

Reference: BNF; NICE CKS