Immunotherapy

Guidelines

Acute immunotherapy management guidelines
Subsequent colitis guidelines
Subsequent hepatitis guidelines

Society for endocrinolgy guidelines

Specialties contact list

Should further expert advice and investigations be indicated, we have identified specialists from within the Cheshire and Merseyside network who may be contacted for urgent advice and input:

SpecialityNameLocation

Gastroenterology

Dr Sree Subramanian

RLBUHT
*happy to be contacted on his mobile through switchboard

Hepatology

Dr Imran Patanwala

RLBUHT
*happy to be contacted on his mobile through switchboard

Endocrinology

Dr Sid McNulty

St Helens and Knowsley (Whiston)
*happy to be contacted on his mobile through switchboard

Dermatology

Dr Elaine Hindle

St Helens and Knowsley (St Helens)
Runs a weekly urgent review clinic –contactable via secretary or via referral letter

Cardiology

Dr Jay Wright

Liverpool Heart and Chest

Rheumatology

Dr Nicola Goodson

Aintree

Referrals

Toxicity follow up service referal form
email to: ccf-tr.Iotox-referral@nhs.net


For urgent information/advice: Call Lead Nurse Trudy-Jane Guinan on her mobile through switch 0151 556 5000


Flexible sigmoidoscopy referal through Meditech (documents section)


Medical photography - Internal: 56 4065

Resources

Infliximab For Immune-Mediated Colitis Protocol V2.0

Oral Methotrexate for Use in Immune Mediated Conditions Protocol V1.0

Steroid card

e-learning module

Immunotherapy alert card

FAQs

Can patients have the flu vaccine whilst on immunotherapy?

There is no evidence to suggest that the flu vaccine is associated with any issues when on immunotherapy therefore we are currently recommending that people should have their flu vaccine as normal.

*If the patient is over 65 there is a new booster to the vaccine. There is no evidence about this and possible interactions with immunotherapies so having this booster therapy is not recommended

If the pneumococcal vaccine is recommended by a patients GP practice they can also receive this.

Patient should avoid live vaccines as it is unclear whether there is an increased risk with these vaccines at present (NB the nasal flu vaccine is live)

Can I have dental treatment done whilst receiving immunotherapy?

Yes.