rituximab
biogen,roche
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immunosuppressants (eg. mtx, rtx, mmf) can reduce immunogenicity to vaccines. vacimra study showing no difference in disease activity (beyond 1 month) and damage when mtx initiation was delayed by 1 month for the pcv13 pneumococcal vaccine. abst1960 #acr22 
Rheumatology nerd. Opinions are my own (except when wrong)