Other medicines and Aray: Tell the doctor or pharmacist if taking, have recently taken or might take any other medicines. This includes medicines obtained without a prescription.
This is especially important if taking: other medicines for rheumatoid arthritis such as antimalarials (e.g. chloroquine and hydroxychloroquine), intramuscular or oral gold, D-penicillamine, azathioprine and other immunosuppressive medicines (e.g. methotrexate), as these combinations are not advisable; warfarin and other oral medicines used to thin the blood, as monitoring is necessary to reduce the risk of side effects of this medicine; teriflunomide for multiple sclerosis; repaglinide, pioglitazone, nateglinide, or rosiglitazone for diabetes; daunorubicin, doxorubicin, paclitaxel, or topotecan for cancer; duloxetine for depression, urinary incontinence or in kidney disease in diabetics; alosetron for the management of severe diarrhoea; theophylline for asthma; tizanidine, a muscle relaxant; oral contraceptives (containing ethinylestradiol and levonorgestrel); cefaclor, benzylpenicillin (penicillin G), ciprofloxacin for infections; indomethacin, ketoprofen for pain or inflammation; furosemide for heart disease (diuretic, water pill); zidovudine for HIV infection; rosuvastatin, simvastatin, atorvastatin, pravastatin for hypercholesterolemia (high cholesterol); sulfasalazine for inflammatory bowel disease or rheumatoid arthritis; a medicine called colestyramine (used to reduce high cholesterol) or activated charcoal, as these medicines can reduce the amount of Aray which is absorbed by the body.
If already taking a nonsteroidal anti-inflammatory drug (NSAID) and/or corticosteroids, taking them may be continued after starting Aray.
Vaccinations: If to be vaccinated, ask the doctor for advice. Certain vaccinations should not be given while taking Aray, and for a certain amount of time after stopping treatment.
Aray with food, drink and alcohol: Aray may be taken with or without food.
It is not recommended to drink alcohol during treatment with Aray. Drinking alcohol while taking Aray may increase the chance of liver damage.