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Covid-19 Primary Care Resources


Corticosteroids and the Covid vaccine


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Guidance on vaccinating individuals undergoing steroid treatments

This information is sourced from :

ARMA, Versus Arthritis, Specialist Pharmacy Service (SPS) and The Green Book Chapter 14a

  • It is safe to have the Covid-19 vaccine alongside steroid exposure, but the patient may not mount such a good immune response
  • Do not delay vaccination for someone who is taking, has received or is soon to receive steroids in any form (IM, intra-articular, oral, IV)
  • If additional steroids are required to control inflammatory disease, that may take priority, as a flare can also worsen the risk from Covid-19
  • It may be appropriate to delay a non-essential steroid injection so that the response to the vaccine is more effective
  • For a patient who is on an elective waiting list for a steroid injection of up to 80mg methylprednisolone or 80mg triamcinolone, the administration of the Covid-19 vaccine is the priority if the vaccine has been offered to the patient and the prevalence of Covid-19 is high. In this scenario, the steroid injection should be deferred by 2 weeks after the vaccine, to enable the patient to mount the best response to the Covid-19 vaccine

Written by Dr Carrie St John Wright

See also:

DMARDS

Immunosuppression

Chemotherapy