24th February 2025

A 40-year-old woman with RA managed with methotrexate suffered a flare four weeks ago, managed with a course of prednisolone 30 mg OD.

A 40-year-old woman with RA managed with methotrexate suffered a flare four weeks ago, managed with a course of prednisolone 30 mg OD. The flare settled, and the prednisolone has since been weaned to 10 mg OD. The patient has subsequently been admitted to ICU with chest sepsis due to a lobar pneumonia requiring vasopressor support for septic shock. She is able to eat and drink. What is the likely advice from the Rheumatologists with respect to managing her immunosuppression during this illness?

Select the SINGLE most appropriate option from the list below. Select ONE option only.