Swine flu information

Arthritis Care has compiled the latest information on the risks to people with inflammatory arthritis, what you should do to minimise the risk, and what you should do if you think you have caught it.

If you are in an 'at risk' category you should make sure you have your seasonal flu vaccine.

1.    What are the symptoms?

The symptoms of swine flu typically consist of a fever or a high temperature (over 38°C / 100.4°F) plus two or more of the following symptoms – unusual tiredness, headache, runny nose, sore throat, shortness of breath or cough, loss of appetite, aching muscles, diarrhoea or vomiting.

2.    Am I more at risk if I am taking methotrexate and other drugs, and will the symptoms be worse if I catch it?

Although these drugs affect your immune system, you are likely to be more at risk if your arthritis is not controlled with them. As far as is known, the risk of contacting swine flu and the time symptoms will last is no more than for normal flu. However, you may be a higher risk of developing a secondary bacterial infection so you should report any worsening of flu symptoms to your GP.

3.   What should I do if I think I have swine flu?

Anyone who thinks they might have swine flu should contact their GP. If you have inflammatory arthritis, it's important you do this quickly, even if your symptoms are milder than normal for swine flu. Some drugs for inflammatory arthritis, including steroids and biologics, can mask the symptoms. Tell them that you are taking drugs that suppressed your immune system.

4.    Can I take my regular medications if I have swine flu?

If you are on steroids it is important to keep taking them as advised by your doctor. You should stop DMARD and biologic treatment until the symptoms have gone away and restart once symptoms of swine flu have disappeared – unless your rheumatologist has recommended that you do not stop treatment. Contact your rheumatology department for advice.

If your flu symptoms are very severe or deteriorating and you feel unwell it is important to seek advice from your GP.

5.    What should I do if my partner or carer has symptoms?

It is important to avoid as much contact as is practically possible with a spouse or carer. If possible, try to avoid close contact (1.5-2 metres) with them until five days from when their symptoms started. Sleep in a spare room if possible. Strict hygiene should be observed with frequent hand washing and wiping down of hard surfaces.

They should always cover their mouth and nose when they cough or sneeze, and regularly wash their hands with soap and water. If possible, you could ask a friend or relative to collect medicines and groceries for you, order any repeat prescriptions, help with basic household tasks like cooking and generally care for you. Plan ahead by arranging for friends or relatives to help you, if you fall ill.

6.    How can I get a sick note if I can't go to the doctors surgery – can I get one retrospectively?

Yes, as long as you notify your GP when you first develop symptoms.

7.    Can I get swine flu twice?

Yes, because the virus can change, although you may have some protection from having had a similar virus previously.

8.    What about vaccines?

People taking medication for arthritis to suppress the immune system are among those most at risk, and are being offered an immunisation by their GP. 

This year's vaccine is a combined vaccine to guard against both seasonal flu and swine flu.

Where can I get more information?

NHS Choices

British Society of Rheumatology