A useful guideline on the perioperative management of antirheumatic medication (including immunomodulators) has recently been produced. This guideline was produced for the context of major joint surgery, and therapy for SLE or other rheumatological conditions. It may be a useful reference for other surgery and other disease management, but it must be noted that the disease for which the immunosuppressive drug is being given must be considered. Involvement of the immunologist or rheumatologist may be needed.
(see attached and extract).
Goodman SM , Springer B, Guyatt G et al. 2017 American College of Rheumatology/American Association of Hip and Knee Surgeons Guideline for the Perioperative Management of Antirheumatic Medication in Patients With Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty Arthritis Care & Research 2017: 69 (8): 1111–24