Can I have liposuction while on 100mg of 6mp of Remicade?

Q:

Can I have liposuction while on 100 mg of 6mp of Remicade?  What are the risks if I stay on one of these medications and get liposuction?

A:

 

  1.  Yes, patients on Remicade do have cosmetic surgery.
  2.  

  3.  Remicade (Infliximab) is a monoclonal antibody against tumour necrosis factor alpha (TNFα) used to treat autoimmune diseases.  It is utilized in the treatment of several autoimune diseases like Rhematoid Artritis (RA), Chrons Disease (CD), etc.. This drug is in the class of medications called immunosuppressants. 

     Most patients are receiving Remicade every 8 weeks as an injection. I commonly tell patients to try to plan the surgery about 6 weeks after the last Remicade infusion and then if the surgery goes well without post-op infections, then restart the Remicade 2-4 weeks after the surgery. You need to balance the possibility of an increased risk of infection versus the risk of an RA, CD, etc. flare. We also give the patients peri-operative steroids. 

     Consider talking with the practitioner who is prescribing the Remicade for peri-operative instructions on how to receive your medication and clearance for your surgery. Best,

     

    Gary R Culbertson, MD, FACS

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