Doctor insights on:
Taking Methotrexate And Having Wrong Site Surgery
Why do I need to stop methotrexate & arava (leflunomide) before alif surgery? I can't take it for 2 months after, why?
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
My mom has RA will undergo in this two weeks hip replacment surgery..so she should stop taking adalimumab(humira) and methotrexate for surgery ?
Probably yes: The operating surgeon will direct you in the correct answer. These medicines may change immune system or risk of bleeding, but only the surgeon has the experience to direct your mom for best outcome. When to stoop and restart is crucial to allow the meds to continue controlling the underlying disease. ...Read more
Treatment for a cervical pregnancy, just took third shot of methotrexate. If hCG numbers don't go down by tuesday they want to do surgery. Hcg 1660?
Ectopic/cervical: You have a rare type of ectopic pregnancy which the md is using a first line of rx with Methotrexate in less than 8 weeks of gestation hopefully. If the HCG is still elevated the surgery is necessary to remove the pregnancy before it ruptures in the cervix through the uterine or descending vaginal artery. ...Read more
Soap and water: Wash the injection area with mild soap and water, then wipe dry before injecting. ...Read more
Why is the injection site yellow after taking methotrexate? It looks like someone colored it with a high lighter
Bruise by injection: Bruise from injection may change color due to the breakdown of hemoglobin from red blood cells in extracellular space. Colors of a bruise are caused by sequential degradation of hemoglobin to biliverdin to bilirubin to hemosiderin, with hemoglobin itself producing red-blue color, biliverdin producing green color, bilirubin producing yellow color. ...Read moreSee 2 more doctor answers
Child has jra on methotrexate and naproxin and been having lower left stomach pains not constipated and no UTI what could be wrong?
See a pediatrician: Preferably the person who is treating the child for jra, hope they feel better soon. ...Read more
Also, milk rich food: If you take oral Methotrexate (tablets) along with milk or milk-rich foods, it may decrease absorption. This is not toxic but may result in getting a lower dose than you need to keep your disease under control. This can be avoided by taking injections under the skin of Methotrexate which are not painful and you can guarantee 100% absorption. As you probably know, always avoid any alcohol. ...Read moreSee 1 more doctor answer
Depends on your RA -: Being controlled or not. Your symptoms might get worse. You should check with your rheumatologists as they might change it for some other medicine or if you are having side effects from the mtx, you may need some meds to counter those effects. ...Read more
No: There is no evidence that most multivitamins will be either helpful or harmful in combination with methotrexate. However it is very important that you take supplemental vitamin b9 (folic acid) as methotrexate can affect your dietary intake. If you are getting 400-1000 mcg daily from your multivitamin then that should be sufficient ...Read more
It depends: Methotrexate is a potent immunosuppressive medication . It also helps reduce the need for corticosteroids that have significant side effects. Its major side effect is on the liver, causing liver damage; it can affect the lining of the gut; rarely it causes a hypersensitivity inflammation of the lung (Methotrexate pneumonitis). Therefore, patients need to be carefully monitored while on the drug, . ...Read moreSee 1 more doctor answer
Yes: Once you've been cleared by your doctor to start trying for your next pregnancy, you should be fine. Methotrexate is harmful in pregnancy but quickly clears from your body. After one full menstrual cycle, the effects of Methotrexate should be gone. Of course, many other things can affect fertility, including the reason you may have needed Methotrexate in the first place. ...Read moreSee 1 more doctor answer
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