Doctor insights on:
Methotrexate And Exercise
Will weight training and aerobic exercise contribute to inflammation and joint pain with sle or will increased strength help?
Strike a balance: Arthritis, especially inflammatory type (like lupus or rheumatoid) responds well to moderate exercise. You have to find the right amount for your body. I encourage you to do weights and aerobic exercise but i urge you to get help with it at first. See a physical therapist or sports med trainer and explain your situation. You don't want an injury and you don't want to over do it at first. ...Read moreSee 1 more doctor answer
Methotrexate was originally used in the early 1950's as a treatment for cancer but was also found to be effective in many other diseases including rheumatoid arthritis and psoriasis. It has anti inflammatory and immunosuppressive properties which make it an excellent first line therapy for RA ...Read more
With cellcept, (mycophenolate mofetil) oxygen levels have improved at rest but breathlessness with exercise, normal?
BP 134/94; should I be on meds or work on lowering it with supplements, diet and cardio exercise first?
Probably: Current guideline favors a lower threshold (120 systolic) and thus you may well benefit from further lowering. If you are overweight, weight reduction and regular exercise should be the first step. Cutting down on salt intake may help some people. Else you need to consult your doctor re. what would be the best option for you. Regardless, do something about it. ...Read more
Is 40mins cardio exercise at 130-150bpm a day enough to get all benefots of exercise for the whole body and heart?
Exercise: 30 minutes 5 days a week is adequate. May want to add interval training to elevate heart rate and for variety. For whole body exercise you should add resistance training as runners tend to loss upper body mass and tend to have weak cores if all they do is run. ...Read moreSee 1 more doctor answer
Can borderline cholesterol and triglycerides be managed diet? I am 60 and weigh 162 lbs and do moderate exercise everyday including swimming laps and
Not usually: But always possible! Check with your Rheumatologist! Good luck Dr Z ...Read more
Weight Loss: Diet control and exercise is best for weight loss. Results from 2009 study showed that sun lighten saunas are beneficial for loosing weight and waist circumference. Refer to the following article: dr. Richard beever bsc, md, ccfp. Do far-infrared saunas have cardiovascular benefits in people with type 2 diabetes? Canadian journal of diabetes 2010; 34 (2) :113 - 118. ...Read more
I take nabumetone, methotrexate, enbrel, plaquenil, vitamin d and folic acid for RA & dermatomyo. Which of these is making it difficult to lose wight?
Male 22. Is cardio exercise at 130bpm for 40mins a day enough to build stamina and heart benefits?
Yes but..: Yes, that's good but, unless u r just starting, your best training zone may be a little higher. Look up aerobic training zones online + you'll see how to calculate target heart rate. To build speed + endurance, interval training (with short sprints added to an aerobic workout) is popular again. And don't forget to cross train a bit (mix up run, bike, swim, elliptical) to avoid overuse injury. ...Read more
On tamoxifen and Lipitor (atorvastatin) have tried diet and exercise for 6 months still slowly gaining weight and cholesterol not down. Can i take hydroxycut?
Try it: Try eliminating saturated fats from animal products and increasing healthy unsaturated oils. Increase your intake of fresh fruits and vegetables to 5-7 servings a day. You didnt mention how high your cholesterol was and what the values for good and bad cholesterol. Exercise will help raise the good cholesterol. Try to be active most days of the week. ...Read more
Low risk: Generally, the more exercise the better! i strongly encourage overweight people to do as much physical activity as possible. The chances of a heart problem are low, but it is worth getting clearance from you personal physician first. Combining strength training and aerobic exercise is best, at an intensity that makes it difficult to carry on a normal conversation and makes you sweat. Good luck! ...Read more
Can occasionally taking beta blockers interfere with my regular exercise routine? 20min cardio and 15min of strength/4 times a week?
OK: You can use short acting beta blockers on an "as-needed" basis and they will start to work within an hour and wear off in several hours (depending on the drug and dose you take). Once worn off, it will have no effect on your exercise. (you can exercise with the med too and safely, but it might "slow you down" just a little.) ...Read more
I'm using duromine for 3 weeks with balanced diet and exercise struggling to breath in deep. Is it the pills and exercise all of a sudden? Dangerous?
YES,YES,YES,Stop: Primary pulmonary hypertension (pph): a rare, frequently fatal disease of the lungs, pph has been reported to occur in patients receiving a combination of Phentermine and Fenfluramine or dexfenfluramine. The possibility of an association between pph and the use of Phentermine alone cannot be ruled out; rare cases of pph have been reported in patients taking Phentermine alone. Discontinue ...Read more
Yes: Both are both excellent cardiac workouts which will help with weight loss. Both also tone the legs. Good luck! ...Read more
Katz book: Disease proof by david katz, md is a good book for overall health. It contains lots of useful information about the way we eat and is written very clearly. Focus more on health and lab results than the number on the scale. Walking can be a great benefit also. You can do it. Please see your doc first. I see that you have had back issues. Low carb and high protein works for some also. ...Read more
Better to be on methotrexate and hydroxychloroquine or methotrexate and a biologic when treating jra? Methotrexate only doesn't help
Depends on severity: Since you have already been on Methotrexate and its not helping you get complete relief from symptoms, further addition of therapies will depend on severity of your current symptoms. Hydroxychloroquine is milder in efficacy as compared to biologics & both have different side effect profiles. Talk to a rheumatologist who can assess your clinical course & treatment needs & then advise accordingly. ...Read moreSee 1 more doctor answer
No: They do not.Get a more detailed answer ›
Many: Methotrexate toxicity can take many forms, from extreme mucositis, low blood counts, and kidney damage. If Methotrexate is given intrathecally (into spinal csf) as is done to treat leukemia, it can sometimes cause toxicity to the brain, which can manifest itself as seizures. Methotrexate can also affect the liver and lungs. If you are having new symptoms, talk with the prescribing doctor. ...Read more
Standard therapy: Methotrexate was originally used in the early 1950's as a treatment for cancer but was also found to be effective in many other diseases including rheumatoid arthritis and psoriasis. It has anti inflammatory and immunosuppressive properties which make it an excellent first line therapy for RA and other rheumatologist diseases. ...Read moreSee 2 more doctor answers
See details: What do you mean by sick? If you mean GI problems such as nausea and vomiting, it may last a few days. I would suggest that the Methotrexate be given by injection subcutaneously instead of by mouth. It is easy to do and will avoid GI issues. It may also be more effective this way. ...Read more
Many and quite safe!: Mtx is used in many autoimmune diseases with great effect. The drug is given IV in high doses to treat cancer. In much lower doses, given subcutaneously like insulin, with fewer side-effects than the same oral dose, does not go to the liver. And you absorb 100%, not the 40-90% when taken by mouth. Great drug. Ist line in ra! ...Read moreSee 1 more doctor answer
A mainstay for...: The treatment of rheumatoid arthritis and psoriatic arthritis, and other inflammatory conditions! i administer to my patients mtx by the subcutaneous route, thereby insuring 100% absorption and bypassing stomach and liver. When given with folic acid, i rarely see significant problems for my patients! ...Read moreSee 1 more doctor answer
Exercise Or Physical Activity (Definition)
Exercise is a physical activity that is completed to maintain or improve health. Benefits of exercise include weight maintenance, improving mood, increasing energy, preventing or controlling chronic diseases, promoting better sleeping, and improving sex life and libido. ...Read more
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