Arthritis Living With Should People With Arthritis Get a Flu Shot? By Carol Eustice facebook Carol Eustice is a writer covering arthritis and chronic illness, who herself has been diagnosed with both rheumatoid arthritis and osteoarthritis. Learn about our editorial process Carol Eustice Medically reviewed by Medically reviewed by Grant Hughes, MD on August 05, 2016 linkedin Grant Hughes, MD, is a board-certified rheumatologist. He is an associate professor at the University of Washington School of Medicine and the head of rheumatology at Seattle’s Harborview Medical Center. Learn about our Medical Review Board Grant Hughes, MD Updated on June 24, 2019 Print Arthritis Overview Symptoms Causes Diagnosis Treatment Coping Terry Vine/Getty Images People with arthritis or other rheumatic conditions are sometimes confused about whether they should get their annual flu vaccine. What guidelines should be followed regarding flu shots for that population of patients? Is there ever a contraindication for getting a flu shot? What Is the Flu? Flu, also referred to as influenza, is a viral illness that affects the respiratory tract. Symptoms include: fever (often high)headachefatiguedry coughsore throatrunny nose (nasal discharge) or stuffy nose (nasal congestion)muscle aches and stomach symptoms (e.g., nausea and vomiting and/or diarrhea) Typically, up to 20 percent of the U.S. population may be affected by the flu with more than 200,000 hospitalized due to complications such as pneumonia. It is estimated that 15 percent of hospitalized patients may die from the illness. Flu Vaccine: Two Types The best way to prevent the flu is to get vaccinated each year. There are two types of flu vaccines. The flu shot contains a killed virus which means it can be given to people with chronic medical conditions such as lupus and rheumatoid arthritis. The flu shot is the recommended vaccine. Another vaccine that is not recommended is the nasal spray flu vaccine. Because it is a live virus, it may be dangerous in people with chronic medical conditions and is not approved even for healthy people who are less than 5 or older than 49. Also, the live nasal vaccine should not be given to pregnant women. Flu Vaccine Offers Protection When Should You Get the Flu Shot? October and November are the optimal time for vaccination but it still may be beneficial in later months. The CDC (Centers for Disease Control and Prevention) recommends patients at high risk for flu complications get the flu shot. Some of these groups include but are not limited to: people over 65residents of nursing home or long-term care facilitiesadults and children 6 months and older who need regular medical care due to a weakened immune system -- including patients taking medications such as:corticosteroids (prednisone, medrol, hydrocortisone)azathioprine (Imuran)methotrexate (Rheumatrex, Trexall)Arava (leflunomide)Cytoxan (cyclophosphamide)Enbrel (etanercept)Humira (adalimumab)Remicade (infliximab) All of these medications may increase the risk of infection. How to Avoid Colds, Flu, Infection When You Take Immunosuppressive Drugs What Else Can You Do to Prevent the Flu? In addition to vaccination, other suggestions to help prevent infection from spreading include: stay home when sickcover your mouth and nose (ideally with a tissue) when coughing or sneezingwash handsavoid touching your eyes, nose or mouth Finally, antiviral drugs such as Tamiflu (oseltamivir) may be used for preventing or lessening the effects of the flu. For more information please visit the CDC website (Centers for Disease Control and Prevention). 2017-2018 Flu Season Was this page helpful? Thanks for your feedback! Dealing with chronic inflammation? An anti-inflammatory diet can help. Our free recipe guide shows you the best foods to fight inflammation. Get yours today! Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit Article Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Answer provided by Scott J. Zashin, M.D., clinical assistant professor at University of Texas Southwestern Medical School, Division of Rheumatology, in Dallas, Texas. Dr. Zashin is also an attending physician at Presbyterian Hospitals of Dallas and Plano. He is a fellow of the American College of Physicians and the American College of Rheumatology and a member of the American Medical Association.