HealthTap Online Primary Care Doctors Accepting New Patients
Book a video visit
HealthTap
Telehealth
A member asked:

Why do i need to stop methotrexate & arava (leflunomide) before alif surgery? i can't take it for 2 months after, why?

6 doctors weighed in across 2 answers

See below: You must stop before surgery and you can resume it until you are cleared the surgeon performing surgery because it can put you at increased risk for post-surgerical infections.

Dr Baez agreed

Answered 6/8/2013

5.1k views

Thank

See details: Two months is an unusually long period to hold Methotrexate after surgery. Three weeks is more the usual but it is ultimately up to your surgeon.

Dr Kuitems and 2 doctors agreed

Answered 12/31/2022

5.1k views

Thank

Related Questions

A member asked:

Saw rheumy. Today.Gave me arava (leflunomide) 20mg+methotrexate 25mg+enbrel for psoriasis/psor.Arthritis.Is it safe, r all 3 used frequently/sometimes, opinion please ?

7 doctors weighed in across 2 answers

A member asked:

Psa have tried mtx w /remicade& w/ humara no help methotrexate caused blood issues but worked better. Now embrel/leflunomide.No relief frustrated help?

A doctor has provided 1 answer

A member asked:

Read that it's advisable to stop taking arava (leflunomide) while on antibiotics to allow its effectiveness after surgery ( due to infections & faster recovery). Tx?

A doctor has provided 1 answer

A member asked:

I took myself off methotrexate for psoriatic arthritis without my doctor knowing it. I was on arava and enbrel and my enzymes were slightly elevated. I want to see if psoriasis comes back. If it does and my enzymes go down, i will start start the medicine

7 doctors weighed in across 2 answers

A member asked:

I am on RA treatment for 12 y. Just had dental surgery. Should i continue arava, (leflunomide) prednisone, chloroquine along with prescribed antibiotics? Thanks

A doctor has provided 1 answer

Sponsored Content
HealthTap Medical Group does not endorse products or services. Sponsored content revenues support our mission to make health information free and accessible to all.Learn more

People also searched for:

Take propecia 1mg, methotrexate 25mg, arava (leflunomide) 20mg, enbrel weekly, B12 & folic acid..Which ones are most likely to cause high liver enzymes(ast&alt)?
Taking arava (leflunomide) and methotrexate. Will i lose hair? Not sure, but it looks like thinning on top.
Is arava (leflunomide) cheaper then methotrexate?
Alt high 60, AST high 45 on methotrexate 25mg, arava (leflunomide) 20mg, enbrel weekly. Should i be concerned? Never had pblm.
On arava (leflunomide) 20mg, enbrel 50mg weekly, methotrexate 25mg. Any other rheumatologist prescribed this for psoriasis/psor. Arthitis?I'm worried about my liver.

Telemedicine

Primary Care
Manage Your Conditions
Women's Health
Children's Health
Men's Health
Senior Health
Wellness, Prevention & Lifestyle
Sexual Health
Mental & Behavioral Health
Travel Medicine
Urgent Care
Ask your question
Didn't find what you're looking for?

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more.

Ask your question

More of what we treat

Allergies
Antibiotics
Asthma
High Blood Pressure
Prescriptions
Type 2 Diabetes
Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.
HealthTap
HIPAA logo
HIPAASecure
Soc 2 Type 2 logo
SOC 2 Type 2Certified
JCAHO Accredited
JCAHOAccredited
Member App

Download HealthTap

Video visit and message your doctor

Member App QR Code
Play Store Member LinkApp Store Member Link

Questions?

+1 (888) 828-0841support@healthtap.com
LinkedInTwitter
HomeTermsPrivacyCookiesDMCAHealth TopicsDoctors DirectoryDoctor Q&A by Specialty
Copyright 2026 HealthTap, Inc.