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Suggest Treatment For Psoriasis And Psoriatic Arthritis

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Posted on Wed, 30 May 2018
Question: My husband has psoriasis and psoriatic arthritis. He takes methotrexate, which has been effective. His PCP and our pharmacist have told him he needs to be off the methotrexate for a period of time, if he wants to receive the shingles vaccination. His rheumatolagist disagrees. Any information would be helpful.
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Answered by Dr. Dr. Kakkar (38 minutes later)
Brief Answer:
Live vaccines should be avoided while on methotrexate

Detailed Answer:
Hello. Thank you.
I am Dr kakkar (Dermatologist and Venereologist). I have noted your concern.

Shingles vaccine is a live attenuated vaccine. So anybody with a weakened immune system or on immunosuppressives is at risk of developing disseminated disease with the live virus. Since methotrexate is an immunosuppressive so he should not receive this vaccine while on methotrexate.

Regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by : Dr. Kampana
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

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Suggest Treatment For Psoriasis And Psoriatic Arthritis

Brief Answer: Live vaccines should be avoided while on methotrexate Detailed Answer: Hello. Thank you. I am Dr kakkar (Dermatologist and Venereologist). I have noted your concern. Shingles vaccine is a live attenuated vaccine. So anybody with a weakened immune system or on immunosuppressives is at risk of developing disseminated disease with the live virus. Since methotrexate is an immunosuppressive so he should not receive this vaccine while on methotrexate. Regards