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A member asked:
I took myself off methotrexate for psoriatic arthritis without my doctor knowing it. i was on arava and enbrel and my enzymes were slightly elevated. i want to see if psoriasis comes back. if it does and my enzymes go down, i will start start the medicine
7 doctors weighed in across 2 answers
Yes and no: I do believe meds need to be adjusted if liver enzymes are elevated. I also personally do not use Arava (leflunomide) and Methotrexate together because of just this issue. However, i never encourage patients to stop meds without discussing issue with the doctor first.
Answered 3/11/2023
5k views
No, bad idea: You are on the same team as your doctor. Use your doctor as a consultant to help you make the best decisions for your care. If you alter your treatment plan yourself, you are at the very least putting yourself at risk for a flare of disease, and at worst putting yourself into danger if your medicines require a taper to be done safely. Call your doctor now--tell him/her you'd like to stop your meds.
Answered 1/5/2015
5k views
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