Cosmetic and reconstructive procedures, such as a facelift (rhytidectomy), tummy tuck ( abdominoplasty ), or nose surgery ( rhinoplasty ) may not be medically indicated, but they may benefit the patient in terms of raising self-esteem. Other procedures, such as cataract surgery, improve functional quality of life even though they are technically an "optional" or elective procedure. Hydroxychloroquine interactions with famotidine Hydroxychloroquine pn singlecare Side effectd of plaquenil Hydroxychloroquine uses and side effects Three hundred and eighty-eight patients undergoing elective orthopedic surgeries were randomized to either continue or to stop MTX therapy for 2 weeks before surgery and resume 2 weeks postoperatively. Elective surgery often seems to result in Lupus flares. So does required surgery, of course. With an auto-immune disease, it just isn't known how or why something might cause a flare, and many kinds of stress are culprits, esp. physical stress. Many of us have flares after surgeries, yet others don't - it's pretty much a guessing game. I Have Lupus, My Rheumatologist Has Given Me a Green Light for a Mommy Makeover. though Plaquenil is widely believed not to add significant risk to surgery and to. However, unlike emergency surgery (e.g., appendectomy ), which must be performed immediately, a required elective procedure can be scheduled at the patient's and surgeon's convenience. Some elective procedures are necessary to prolong life, such as an angioplasty . Plaquenil and elective surgery Risks of Plastic Surgery on Patient with Lupus and., Lupus AFTER Gastric Bypass surgery How to start plaquenilWhat are the parts of chloroquineDrug warnings for plaquenil For example, it appears to be safe for patients on methotrexate to continue on therapy during elective orthopedic surgery. Evidence for this comes from a randomized clinical trial in which patients with rheumatoid arthritis RA were assigned to either continue on methotrexate MTX or suspend taking it for 2 weeks before and 2 weeks after surgery. Hold the immunomodulators for surgery? Maybe yes, maybe no.. I Have Lupus, My Rheumatologist Has Given Me a Green Light.. Perioperative Medicine in the Inpatient Setting. It simply means that the surgery can be scheduled in advance. It may be a surgery you choose to have for a better quality of life, but not for a life-threatening condition. But in some cases it may be for a serious condition such as cancer. Examples of elective surgery include removing a mole or wart, and having kidney stones removed. Liver Enzymes. The liver produces several enzymes involved in metabolism. Among them, the aminotransferases, also called the transaminases, ALT and AST, which function in protein metabolism, have particular diagnostic value, as they become elevated in several diseases, including those of the liver and gallbladder in addition to disorders of other tissues, including the heart and muscle. Continue methotrexate, leflunomide, hydroxychloroquine, and sulfasalazine. Biologic agents should be held with surgery scheduled at the end of dosing cycle and restarted when the wound is healed, sutures/staples are removed, and there are no signs of infection ~14 days. Tofacitinib should be held for all conditions except SLE for 1 week.