Coronavirus and myositis
This page pulls together some useful resources, websites and FAQs about the new coronavirus and myositis.
As the UK is in lockdown to help tackle the spread of a new coronavirus (Covid-19), we know many of you living with myositis have questions about what this means for you.
This new information page on coronavirus and myositis pulls together some useful resources, websites and FAQs which you may find helpful.
We aim to update this page regularly so do bookmark it. Last updated 5/06/20
The situation in the UK is constantly evolving along with the information available.
For the latest and most up-to-date information, we recommend you visit these main sources of information:
- NHS.uk (England)
- gov.uk (England)
- NIdirect.gov.uk (Northern Ireland)
- Wales NHS
- NHS Inform (Scotland)
You may also find this clinical guide for the management of rheumatology patients during the coronavirus pandemic helpful, as well as this information on Versus Arthritis website.
Coronavirus webinar resources
Dr James Lilleker and Professor Hector Chinoy have very kindly been hosting webinars for Myositis UK members on the topic of living with myositis and coronavirus (25 March and 8 April).
We are very grateful for their time and know our members have hugely appreciated these sessions.
These webinars have also helped inform the frequently asked questions below.
Here are the links to the presentations and resources shared in the sessions:
- Dr James Lilleker and Will Gregory’s (consultant physiotherapist) presentations
- Will Gregory’s 12 week exercise programme (draft format)
Coronavirus and myositis FAQs
Am I considered high risk because I have myositis?
Coronavirus can make anyone seriously ill, but there are some people who are at a higher risk.
People living with myositis may be considered high risk if you:
- Are on prednisolone (steroids) at a dose of >/= 20mg daily for more than 4 weeks
- Are on a combination of steroids and immunosuppressive drugs
- Are taking more than one immunosuppressant with another illness that puts you at risk
- Have respiratory muscle weakness
- Have interstitial lung disease
- Have problems swallowing
You may find the following tools to help identify your level of risk:
Will I be told if I am high risk?
The NHS is contacting those considered most at risk. Around 1.5 million people have already received letters and more have been contacted since then by text message.
If you are identified as high risk you are strongly advised to stay at home at all times and avoid any face-to-face contact for a period of at least 12 weeks.
If you are not contacted but believe you are high risk and need support, speak to your GP or care team. You can also self refer here.
What should I do if I am high risk?
Everyone is currently being asked to stay at home to help stop the spread of coronavirus, only leaving the house for food, health reasons or work (but only if you cannot work from home).
If you are at high risk, you should follow the government’s shielding advice very seriously. This means not leaving your home at all and staying at least two metres away from other people in your home as much as possible.
Ask friends, family or neighbours to pick up shopping and medicines for you, or have these delivered.
There is currently a national scheme going on to recruit volunteers to help with these kind of activities. If you are contacted to say you are high risk, you should be able to access this assistance.
For more advice on shielding see this government resource
Should I stop my medication?
No. If you’re on medication for myositis do not stop taking it suddenly.
While you may be concerned about your risk of catching coronavirus and becoming unwell, stopping your medication could make your myositis worse and cause more harm.
This is especially true if you are on steroids. If you stop taking steroids suddenly it can make you very unwell.
Try to make sure you have a good supply of your medications at home, three-months worth if possible as this situation could go on for some time.
Ask family, friends or neighbours to bring your medication to you, or have these delivered.
Should I change my medication dose?
You could speak to your specialist or GP to make sure you are on the lowest dose of medication possible.
Hopefully this should be the case anyway but if you are on a process of tapering medication, there may be instances where this could be done more quickly.
I’ve got a hospital appointment, should I go?
If you have hospital appointments scheduled you will need to make an individual assessment on whether you should attend or not.
If you are identified as high risk, the key things to avoid are going out of your home and hospitals. But at the same time, it’s important that your myositis does not get worse as this could cause more harm.
Some appointments could easily be postponed. Others, such as scheduled biologics (eg, rituximab) may be necessary to help keep you well.
If you are on immunosuppression, you will likely have regular blood monitoring appointments. These are important but there could be some flexibility to do these less frequently if you’ve been stable on a drug for a long time.
What exercises can I do in my home to help stay healthy?
Will Gregory, consultant physiotherapist working for the Rheumatology Team at Salford Royal, has been working on a home exercise programme for people with myositis which you may find useful during this period of lockdown.
The document is in a draft format for the time being and Will would welcome feedback. You can feedback by downloading this form and returning it to Will at William.Gregory@srft.nhs.uk
The exercise document contains two separate exercise programmes. The first is from an internationally renowned research team in Sweden and is good to work on for diagnoses of dermatomyositis, polymyositis, anti-synthesase syndrome, IIM, overlap diagnoses and necrotising myopathy.
The second programme is specifically for diagnoses of inclusion body myositis (IBM) and has been recommended by research in Australia and ratified by the team in Sweden.
While other exercise programmes may be out there, these are the best evidence-based for people with myositis.
What happens if I get symptoms of coronavirus?
If you develop symptoms of Covid-19 (high temperature above 37.8 °C and/or new and continuous cough) seek clinical advice using the NHS 111 online coronavirus service or call NHS111 if you don’t have internet access.
If you do develop symptoms and become unwell, the general advice for those taking immunosuppression is to stop medication. You can restart when you have recovered.
However, it is vital that those tasking steroids do not stop as stopping steroids suddenly can make you very unwell.