Preparation for Medication Treatment (arrival to the Rheumatology Day Clinic)

If you

• have an infection before your scheduled medication, contact the department immediately.

• are sick or on antibiotics, contact the department to postpone your medication. Do not use an injection pen.

• cannot make your scheduled appointment, please inform the department.

Only specialized medication administration takes place at the department.

• Bring entertainment, a snack, and, if you wish, your own coffee pods (a Nespresso machine is on-site).

• It's a good idea to bring a pillow and blanket for longer treatments.

• Set your phone to silent. If you need to make a call, please step outside.

• If you need an escort, contact the department in advance.

• Please respect the privacy of other patients.

Upon Arrival at the Day Clinic

• Check in by entering your national ID number at the kiosk in the Eiríksstaðir lobby.

• Wait in the waiting room until you are directed inside.

• A staff member will greet you and guide you to your medication administration.

Medication Administration Process

Your vital signs will be measured, and you will answer a health questionnaire. Medication duration (varies per individual):

• Cyclophosphamide: 3-4 hours

• Infliximab (Remicade, Flixabi, Remsima): 3.5 hours for the first four administrations, then 1–2.5 hours thereafter.

• Immunoglobulin (Octagam, Gamunex): 2 to 6 hours

• Orencia: 1 to 1.5 hours

• Rituximab (Ruxience): 3.5 to 7 hours

• Roactemra: 1.5 hours

• Vaccinations

• Annual influenza vaccinations are recommended, and pneumococcal vaccination is also advised.

• There is no need to consider the timing between medication administration and vaccination.

• Those on biologic medications should not receive live vaccines, including MMR, cholera, and yellow fever.