Surgery and biologics

[RAjos131950]

I am due for a knee replacement early in the new year. It may be possible to have it sooner due to cancellations. Im on a biological drug Abatacept does anyone know how long i have to be off it before surgery please. I will get advice from rhuemy but I'd like an idea also hiw long will I be off it. Thank you 😊

[helixhelix]

Impossible to give a firm answer as your doctor will decide according to yiur circumstances and overall health. Average seems to be 2 weeks, but could be more or could be less...

[RAjos131950 in reply to helixhelix]

Thank you

[charisma]

Good luck with that. 🙂

[Amy_Lee]

Good to ask before you see your rheumy, at least to have some knowledge to talk to our rheumy if needed.

Good luck for your surgery!

[RAjos131950 in reply to Amy_Lee]

Thanks the surgeon is phoning me tomorrow for a clinical assessment apparently he has lots of cancellations from patients due to covid i wasnt scheduled till after Christmas. Im feeling very nervous now but it will be over with

[bpeal1 in reply to RAjos131950]

I would recommend discussing this with rheumatologist rather than the surgeon as they know the drugs and you better than the surgeon does.

[RAjos131950 in reply to bpeal1]

Yes I agree ive rang rheumatology and left a message they can take up to 48 hrs to reply and the surgeon is ringing today I would rather have their advice thanks

[springcross]

Good luck with it Pasjc. xx

[Maggsie]

All I can say is, if you can get it done sooner rather than later, go for it. You never know if they're going to cancel all non emergency surgery and it's such a life changing OP. I had mine on on 15th October and I'm so pleased with it. Now just to try and get the RA u der control 😀

[RAjos131950 in reply to Maggsie]

Thank you for such a positive reply did you come off your rheumatology drugs before your surgery x

[Maggsie in reply to RAjos131950]

I just missed one week of mtx, I am waiting to start tocilizumab and had to delay that until after the OP.

[Sanbanan]

Hi,I have had both knees replaced. Left one 3 years ago & right one in Feb this year.

Definitely ask your rheumatologist for advice.

I had to come off Etanercept for 4 weeks before first op but only had to come off Tofacitinib 2 weeks before 2nd op. I think its all to do with specific drugs & how long it takes for them to leave your system.

Best wishes for your op. I have no regrets getting mine done.

[RAjos131950 in reply to Sanbanan]

Thank you so much I hope im as successful as you your message was such an uplift xxx

[Dave74]

Mine was 2 weeks before surgery and then back on again, once the wounds and stitches had healed and nothing is left open! My knee did glare though and had to have it asperated and injected, but that's me! Good luck🍀🍀

[RAjos131950 in reply to Dave74]

Thank you Dave

[Eiram50]

Yep, agree with HH.

I had a double knee replacement and was off all meds for 3 weeks before

And 3/4 weeks after surgery.

Best of luck with your op !

[allanah]

I was told to miss my monthly TCZ infusion prior to surgery and advice was given about statins and anticoagulant too. Yep question for your doc as you say x

[RAjos131950 in reply to allanah]

Thank you i had contacted the hospital and have had an answer its 2 weeks and after surgery until the wound is healed Thanks everyone for your answers 😊

[allanah in reply to RAjos131950]

Great news! Good luck with the op !