Which vaccinations are recommended by the ACR prior to pharmacologic treatment for rheumatoid arthritis (RA)?

Updated: Feb 07, 2020
  • Author: Howard R Smith, MD; Chief Editor: Herbert S Diamond, MD  more...
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The ACR recommends that before patients undergo pharmacologic treatment with either nonbiologic or biologic DMARDS, they should receive not only the pneumococcal, hepatitis, and influenza vaccinations (as indicated in the 2008 ACR recommendations) [68] but also vaccinations for human papillomavirus (HPV) and herpes zoster virus (HZV) (added in the 2012 updated ACR recommendations). [4]

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