Guidance for people with a weakened immune system Coronavirus COVID-19: advice for people who were on the Highest Risk List

You may be advised to adjust your warfarin dose before having the steroid injection. Occasionally people notice a flare-up in their joint pain within the first 24 hours after an injection. This usually settles by itself within a couple of days, but taking simple painkillers like paracetamol will help. After this time, it’s important to continue with any exercises given to you by your health professional.

  • Out of the patients who did develop antibodies, all but four of them could neutralise all covid variant strains (meaning the antibodies they developed could destroy covid).
  • Dr Alder and the team at Dorset Private GP have always considered steroid injections on an individual basis, mindful of risk and the effects on the immune system and are practising in line with the current guidance.
  • The cancer can stop the bone marrow from making so many blood cells.

Stopping a prescribed course of medicine suddenly can cause further unpleasant side effects (withdrawal symptoms). But sometimes they can cause unpleasant side effects, such as an increased appetite, mood changes and difficulty sleeping (insomnia). If you need to take both medications, you may be given a medication called a proton pump inhibitor (PPI).

A clinical trial to test a new topical treatment for alopecia areata

Most side effects are mild or moderate and go away within a few days, with some still present a week after vaccination. The International Chronic Myeloid Leukaemia Foundation (iCMLf) has this statement on its website, clarifying that CML patients should be offered the vaccine. MPN Voice has this statement on its website, clarifying that MPN patients should be offered the vaccine. For Scotland and Wales, we don’t yet know what the process for booking household members’ vaccinations will be – we will update this page when the guidance is published.

  • This can reduce the symptoms of inflammatory conditions, such as arthritis and asthma.
  • However, because of this risk, these vaccines may not be suitable for people with a history of anaphylaxis caused by a food or medicine allergy.
  • If you feel particularly tired, breathless or dizzy, let your treatment team know.

There does remain a group of people who may not get the same level of protection from vaccination as the majority of the population. This is because they have a medical condition, or are undergoing treatment, which means their immune system is weakened. This group of people remain at a higher risk from COVID-19, and this guidance is for you. There is a high risk of viral infections in the first month after treatment with Lemtrada.

Facial Palsy UK’s Response to Coronavirus

These factors should be taken into account when assessing your risk and choosing a DMD. If you catch Covid-19, you may be eligible for a treatment to manage your symptoms and reduce your risk of becoming seriously ill. For those with a mild infection, treatment will typically be at home and include rest, plenty of fluids and paracetamol or ibuprofen to reduce any temperature.

If you were previously sent a PCR test you can keep it, but do not use it unless asked to do so by your NHS team. Further information on who is included in these groups of people is included in the sections on vaccination and treatments below. If you are in one of these groups, consider following the guidance below on keeping yourself safe. The success of the coronavirus (COVID-19) vaccination programme has meant that the requirement for shielding and identifying people as clinically extremely vulnerable (CEV) is no longer necessary.

Studies across multiple types of blood cancer

We know that many people who were on the Highest Risk List have found it difficult to think of themselves as being at higher risk from COVID-19. There is different guidance available for people living in England, Wales and Northern Ireland. They cause a dramatic rise in the concentration of free testosterone in the body, allowing you to quickly acquire mass and strength.

You might find our section on coping with risk and uncertainty as lockdown eases helpful. Many people’s immune system recovers to a normal level after treatment, in which case we expect the vaccine to work fine. Up to 1,200 patients have been recruited to the study via other trials already running and hospitals that were already involved. The reason for this approach is that it was much quicker to get the trial up and running and therefore quicker to get results.

COVID-19 vaccination guide for people with a weakened immune system 3rd dose PLUS booster

Corticosteroids can decrease the effectiveness of medications used to treat diabetes. If you want to check that your medicines are safe to take with your medication, ask your Pharmacist or GP. If you have troublesome side effects, don’t stop taking your medication until your doctor says it’s safe to do so. Steroid injections are often only given at intervals of at least 6 weeks.


If your symptoms seem to get worse or if you are concerned, you can call NHS 111. By having the third dose you may reduce your chance of catching the COVID-19 infection. And, if you do, the symptoms may be less severe and the illness shorter, than if you had not had the third vaccination.

Should I take vitamin D if I’m at high risk from coronavirus?

We are monitoring the government advice and any published research that may indicate specific increased risks. If you are taking steroids for facial palsy please see additional information below. However, as the virus accesses the body via moist surfaces such as the eye and mouth, theoretically there are reasons to be extra careful with hand hygiene. People who may touch their face more regularly than average include those who have to regularly apply eye lubrication, have a watery eye, or have difficulty eating/dribbling.