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Doctor insights on: Methotrexate And Shingles

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Should methotrexate patients get shingles vaccine?

Should methotrexate patients get shingles vaccine?

Dose dependent: This judgement has to be made by the provider. Technically low dose Methotrexate is not considered a contraindication to receiving the shingles vaccine. But only your provider will have a full picture of your immune status. Shingles vaccine is a live vaccine and not given to those with significant immunosuppression. ...Read more

Methotrexate (Definition)

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


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My RA doc recommended stopping my wkly sunday dose of 20 mg methotrexate, getting my shingles vaccine monday, resume next sun dose. Is 20 a low dose?

My RA doc recommended stopping my wkly sunday dose of 20 mg methotrexate, getting my shingles vaccine monday, resume next sun dose. Is 20 a low dose?

Individual: The dosage is vary and will be different for different patients. Do not adjust the dose by yourself. Take this medicine only as directed by your doctor.
If concern, is always good to ask your physician. ...Read more

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How much time should I be off my methotrexate before I get the shingles vaccine?

How much time should I be off my methotrexate before I get the shingles vaccine?

2 months: That is somewhat controversial as there is some evidence that it can be given while on methotrexate. The current recommendation is to be off of it for 2 months. ...Read more

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Can I receive the shingles vaccine if I have RA a and I am taking methotrexate and rituximab?

Can I receive the shingles vaccine if I have RA a and I am taking methotrexate and rituximab?

No as a general rule: Its best to offer live vaccines such as zostavax prior to initiating therapy with immunosupressive agents. Combination of Rituximab with a live vaccine may cause more harm than good. In rare cases, only your doctor can decide if the benefit of this vaccine outweighs the potential risks. If feasible, Rituximab may be stopped for a few months prior to administering live vaccine. ...Read more

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Is it o.K. To tan while on methotrexate?

Is it o.K. To tan while on methotrexate?

No: While this is actually unlikely to cause problems, sunburn may be more likely while using methotrexate. Though it may depend on why and how you're using it. ...Read more

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Please describe the medication: methotrexate?

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 more

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Is tanning ok while on methotrexate?

Is tanning ok while on methotrexate?

Yes, but: Tanning ages skin and causes cancer. But that having been said, Methotrexate does not make tanning more dangerous! ...Read more

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Do I take methotrexate for arthritis?

Do I take methotrexate for arthritis?

For inflammatory art: Methyltrexate is not use for degenerative arthritis but inflammatory arthritises like rheumatoid arthritis. ...Read more

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Can nsaids be taken with methotrexate?

Yes: NSIDs can be taken with Methotrexate. With or without Methotrexate, NSAIDs have many possible side effects and need to be used carefully. Gastrointestinal issues such as ulcers/gastritis can occur. Studies continue to show NSAIDs are associated with increased risks of cardiovascular side effects such as heart attacks and strokes. Routine labs are needed to watch for other side effects of both meds ...Read more

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What are methotrexate and fluconazole?

What are methotrexate and fluconazole?

Meds: Methotrexate is a medicine that treats several kinds of cancer, including cancer of the blood, bone, lung, breast, head, or neck. Also treats rheumatoid arthritis and psoriasis (a skin disease).

Fluconazole prevents and treats certain fungus infections. Belongs to a class of drugs called antifungals. ...Read more

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Why does one have to wean off methotrexate?

Why does one have to wean off methotrexate?

Weaning is not: Necessary. The body takes 2 & 1/2 months to eliminate MTX. Stopping is enough. Weaning makes little sense! ...Read more

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Shingles (Herpes Zoster) (Definition)

A painful blistering skin rash caused by the chickenpox virus (varicella zoster). Early treatment with antiviral medication (within 72 hours) lowers the risk of post-herpetic neuralgia, which is lingering skin pain after the rash disappears. ...Read more


Dr. Heidi Fowler
824 Doctors shared insights

Herpes Zoster (Definition)

Shingles (herpes zoster) is a painful, blistering skin rash due to the varicella-zoster virus, the ...Read more