Vaccine Guidance

The physicians of Arise Infusion encourage our patients to obtain any of the COVID-19 vaccines as they become available. Based on the data for the COVID-19 vaccines available in the U.S., there is no preference for one COVID-19 vaccine over another.

We are unable to provide COVID-19 vaccine in our clinics at this time.


If you were referred to ARISE Infusion by a physician external to ARA, please contact your referring provider for medication guidance prior to obtaining the COVID-19 vaccine.

We support the new (2/10/2021) guidance from the American College of Rheumatology regarding how to take various medications around the time of COVID-19 vaccinations that use mRNA (by Pfizer and Moderna):

If you take any of the following medications, and your rheumatologic disease is doing well, do not take this medication for 1 week after each dose of COVID-19 vaccine:

Methotrexate (Otrexup, Rasuvo, Rheumatrex)

Xeljanz (tofacitinib)

Rinvoq (upadacitinib)

Olumiant (baricitinib)

If you take the following medications, contact ARA when you are nearing the time of your COVID-19 vaccination to plan scheduling the doses:

Orencia (abatacept)

Rituxan (rituximab)

Cyclophosphamide intravenous only (Cytoxan)

If you take the following medications, you do not have to change your medication dosing schedule around the time of COVID-19 vaccination:

Actemra Guselkumab (Tremfya) Remicade
Adalimumab (Humira) Humira Rizankizumab (Skyrizi)
Anakinra (Kineret) hydrocortisone Romosozumab (Evenity)
Apremilast (Otezla) Hydroxychloroquine (Plaquenil) Sarilumab (Kevzara)
Arava (leflunomide) ibuprofen Secukinumab (Cosentyx)
Azathioprine (Imuran) Ilaris Simponi
Belimumab (Benlysta) Imuran  Simponi Aria
Benlysta Infliximab (Remicade, Inflectra, Renflexis) Skyrizi
Canakinumab (Ilaris) Ixekizumab (Taltz) Stelara
Cellcept Kevzara Sulfasalazine
Certolizumab (Cimzia) Kineret Tacrolimus
Cimzia Leflunomide Taltz
Cosentyx Lupkynis Tocilizumab (Actemra)
Cyclophosphamide oral only (Cytoxan) Mycophenolate (Cellcept) Tremfya
cyclosporine Naproxen Ustekinumab (Stelara)
Cytoxan (oral only) Non-steroidal anti-inflammatory drugs (NSAIDs) Voclosporin (Lupkynis)
Denosumab (Prolia) Otezla Zoledronic acid (Reclast)
Enbrel Prednisone  
Etanercept (Enbrel) Prolia  
Evenity Reclast  

Reference link: American College of Rheumatology COVID-19 Vaccine Clinical Guidance Summary for Patients with Rheumatic and Musculoskeletal Diseases.