rituximab
roche,biogen
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acr guideline for vaccination in patients with rmds #acr22 hold dmards to improve vaccine immunogenicity? #influenza hold mtx 2 weeks after vaccination if you can wait on rtx , do it other dmards changes likely not necessary 
Annals of the Rheumatic Diseases (#1 research journal in Rheumatology) & RMD Open are the official @EULAR_ORG journals. High quality, peer reviewed research.