Do I need to self isolate?

This guidance is updated from advice from the Chief Medical Officer, May 2020.

https://nwis.nhs.wales/coronavirus/digital-support-updates-for-healthcare-professionals/identifying-shielding-patients/

Everyone needs to practice social distancing as has been announced by the Prime Minister. Self isolating is an additional layer whereby you are to refrain from all but essential contact with other people for 12 weeks.

The advice at present is to carry on taking your current medication if you are well.

You need to shield if you are taking any ANY of the following drugs in the last 6 months:

  • Azathioprine
  • Mycophenolate Mofetil
  • Mycophenolic Sod
  • Ciclosporin
  • Sirolimus tablets
  • Tacrolimus tablets
  • Cyclophosphamide

Or ANY of the following drugs within the last 3 months:

  • Abatacept
  • Adalimumab
  • Anakinra
  • Baricitinib
  • Belimumab
  • Certolizumab
  • Etanercept
  • Golimumab
  • Infliximab
  • Ixekizumab
  • Leflunomide
  • Methotrexate
  • Sarilumab
  • Secukinumab
  • Tocilizumab
  • Tofacitinib
  • Ustekinumab
  • Guselkumab
  • Adalimumab Biosimilar: Amgevita, Imraldi, Humira
  • Etanercept Biosimilar: Benepali, Enbrel, Erelzi
  • Golimumab_ Biosimilar: Simponi
  • Infliximab Biosimilar: Inflectra, Remicade, Remsima

Or any TWO of the following drugs:

  • Methotrexate
  • Azathioprine
  • Mycophenolate (Mycophenolate Mofetil Or Mycophenolic Acid)
  • Ciclosporin
  • Fumaric Acid Esters (Or Dimethyl Fumarate)
  • Hydroxycarbamide
  • 6-Mercaptourine
  • Leflunomide
  • Cyclophosphamide
  • Tacrolimus tablets
  • Sirolimus tablets
  • Etanercept
  • Adalimumab
  • Infliximab
  • Golimumab
  • Certolizumab Pegol
  • Secukinumab; Ixekizumab; Brodalumab
  • Ustekinumab; Guselkumab
  • Tildrakizumab
  • Anakinra
  • Risankizumab
  • Apremilast

You need to self isolate also if you are taking:

  • Steroid tablets (prednisolone) at a dose of more than 20mg for more than 4 weeks
  • Or steroid tablets (prednisolone) more than 5mg a day with any of the above drugs

What if I am taking an immunosuppressant drug?

You are at higher risk of infection if you are taking one immunosuppressant drug but you do not (at this time) need to self isolate. If you are taking rituximab or infliximab for a skin condition, you do need to self isolate.

Being on omalizumab or dupilumab may carry a higher risk of infection but not as high as other drugs listed above.

What if I am on another drug prescribed by my dermatologist?

You do not need to self isolate if you are taking any of the following drugs in isolation or combination and do not have any other medical conditions that might compromise your immune system or breathing.

  • Topical skin treatments (creams, gels, etc).
  • Hydroxychloroquine
  • Acitretin
  • Alitretinoin
  • Isotretinoin
  • Dapsone
  • Chloroquine
  • 5-ASA medications (e.g. mesalazine)
  • Sulfasalazine
  • Only inhaled or rectally administered immunosuppressant medication, e.g. steroid inhalers
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