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:
Speciality | Name | Location |
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.