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<<tiddler AutoRefresh with: force>>

Biologics
Infliximab, Etanercept, Adalimumab, Ustekinumab
beware - TB, heart failure, demyelination (MS)
so pre-check - CXR plus quantiferon gold, HIV, HepB/C Mole check, abdo - liver / LNs, FBC, U/E, LFT, ANA
Hx cancer and include smear

Methotrexate - P3NP - looking for liver fibrosis - check 6/12thly and if inc by 2-3x then biopsy

Azathioprine - TPMT - genetic test pre start to see if you can cope with azathioprine (enzyme in liver)

Shampoo
Cocois - reduce scale
Etrivex - dermovate wash - helps with itch without thinning skin

Acitretin
dry mouth, eyes, face
extra-osseous bone formation
check bloods - U/E, FBC, LFT, chol