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Tuesday, 17 October 2017

Rheumatology Services

We have links with other health professions such as podiatry, orthotics and dietetics, and also liaise with other departments such as dermatology, orthopaedics and respiratory medicine (chest clinic) where appropriate.

Rheumatology Services FAQs

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When are monitoring clinics held?

Monitoring clinics are held every Tuesday for patients commencing on drugs by subcutaneous and intramuscular injection such as methotrexate, gold (Myocrisin), etanercept (Enbrel) and adalimumab (Humira).

These clinics are held in our Day Unit and are run by our senior staff nurse. She will demonstrate how to administer your injection, organise repeat prescriptions as required and arrange collection of these at regular intervals. Once you are happy to self-inject and on a stable dose we will arrange for further supplies to be delivered to you at home. This is subject to satisfactory blood monitoring tests and providing you have no side effects from the injections. If you are unable to manage the injections yourself your partner or a friend can be taught to do this for you.

If your condition is flaring you may be offered an injection of Depomedrone (a long-acting corticosteroid) to settle your symptoms. This is injected either into the muscle of your buttock or thigh, and will usually be given by one of our staff nurses. This may give relief for approximately six weeks or longer, and is sometimes offered when a new treatment is commenced which may not begin working immediately.

If you are prescribed vitamin D (ergocalciferol) injections are also sometimes given; again these are given into a muscle, usually the buttock.