Discontinuing methotrexate to enhance vaccine response.

Medeiros-Ribeiro, Ana C; Aikawa, Nadia E · Nat Rev Rheumatol · 2022

review · Level V

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Abstract

In patients with autoimmune rheumatic disease, methotrexate therapy has been associated with poor immune response to vaccines, including those intended to provide protection against COVID-19. Emerging evidence supports the practice of temporarily discontinuing this treatment in order to improve immunogenicity.

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