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    pneumococcal vaccination-get vacinated if possible before starting certain RA meds
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    Scott Zashin, MD posted:
    There is an increased risk of infection with some of the medications used for treatment of patients with rheumatoid arthritis.Pneumococcal vaccination is recommended for my patients who go on disease modifying drugs such as methotrexate or biologic medications such as Enbrel, Humira, Orencia and others due to this increased risk. The pneumococcal vaccine can decrease the incidence of one type of lung infection. The immune response to this vaccine may decline in patients once they have started these medications so I encourage patients to be vaccinated before beginning these treatments.
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