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Real members of myRAteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A myRAteam Member asked a question 💭
Phalaborwa, ZA

I have been ill a few times this year. Prednisone and medication has mask my symptoms so much, by the time I get to go to my GP it is pulmonary infection/bronchitis already. Every time I get put on antibiotics. I was sick exactly a month ago, had 2 different antibiotics and are now sick again
My throat is very soar, my chest very tight and am I short of breath and just overall tired - different than usual
I am wondering if the antibiotics is not doing my immune system more harm than good? … read more

November 4, 2025
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A myRAteam Member

Hi Lanie, every winter for years I have respiratory issues. No matter what part of the country I was living in. Last winter I had the pneumonia vaccine and it was the first winter I didn’t get sick. Praying for the same this winter 🙏🏻 ask your doctor if the pneumonia vaccine might work for you. Hope you have a restful night 🤗

November 5, 2025
COVID-19 and Rheumatoid Arthritis (RA) Essential Updates Read more >
A myRAteam Member

Thank you Katro, my oxygen levels are always low according to my smart tracker device. I have just blame it on the red blood cell size. Strongs to you ❤️

November 5, 2025
A myRAteam Member

Hi Lanie, I have complicated with RA that includes interstitial lung disease which makes it hard to breathe because the bronchi are hardening and won't allow oxygen to get through to the blood stream. Those infections indicate lung involvement. Please ask for a CT scan of your lungs to determine if interstitial disease is active.

November 5, 2025
A myRAteam Member

I have repeated bladder infections. The bacteria I normally get is antibiotic resistant which makes it difficult to treat. I'm on microdactin daily doesn't help.
Lanie chest infections sound far worse I'm sorry. It's a viscious circle

November 4, 2025
myRAteam

Are you taking antibiotics too frequently with RA?

Your concern about frequent infections and antibiotic use is completely understandable. When you have RA and take medications like prednisone, your immune system becomes suppressed, making you more vulnerable to infections. This creates a challenging cycle.

Why infections Show Full Answer

Are you taking antibiotics too frequently with RA?

Your concern about frequent infections and antibiotic use is completely understandable. When you have RA and take medications like prednisone, your immune system becomes suppressed, making you more vulnerable to infections. This creates a challenging cycle.

Why infections keep happening:

The medications you're taking for RA work by dampening your immune response to reduce inflammation. Unfortunately, this also makes it harder for your body to fight off bacteria and viruses. Prednisone, in particular, can mask infection symptoms until they become more serious, which is what you're experiencing.

About antibiotics and your immune system:

While antibiotics are necessary to treat bacterial infections, they don't directly weaken your immune system. However, they can affect your gut bacteria (microbiome), which plays an important role in immune function. Research shows that antibiotic use can disrupt the balance of healthy bacteria in your gut, potentially impacting your overall immune response.

What you should do:

Your recurring infections need immediate attention from your rheumatologist and GP. They may need to:
- Adjust your RA medication dosage
- Temporarily pause certain medications during infections
- Review your overall treatment plan
- Check your blood counts regularly

Given your symptoms (sore throat, chest tightness, shortness of breath), please contact your doctor right away rather than waiting for symptoms to worsen. Prevention strategies:

Between now and your appointment, focus on infection prevention:
- Wash your hands frequently
- Avoid people who are sick
- Cover your mouth when coughing or sneezing
- Don't share personal items
- Consider wearing a mask in public spaces
- Get adequate rest and nutrition

A myRAteam member shared similar struggles with frequent infections while on RA medications, noting how important it became to work closely with their healthcare team to find the right balance between managing RA and maintaining immune function.

November 4, 2025

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