Doctor insights on:
What Medications Can I Take With Methotrexate
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
Weeks to months: Methotrexate works by reducing the function of the cells that are causing inflammation in the joint tissues. People with swollen and painful joints whose rheumatoid arthritis has not improved with initial, non-drug therapies will most likely be prescribed methotrexate for RA management. But it may take weeks to several months until the full benefits of methotrexate are noticeable ...Read moreSee 3 more doctor answers
If i've already taken my methotrexate for the week, is it ok to take a cold medication? If so, what is safe to use?
Which medication can reduce rheumatoid factor ? my RF is 201. methotrexate not working I take 15 mg weekly one year
RF Factor: RF is a blood test that can be used to evalauted for multiple conditions. In patients with rhumatological conditions there is no evidnece that a drop in the RF value is of any clinical significance while on therapy. The most important considerations for treating RA are the symptoms and any evidnece of joint destruciton on imagining. ...Read more
Taking methotrexate and it says u can die if u take it everyday and it's a cancer chemo drug is this true?
Methotrexate : It is used for cancer and also in inflammatory joint disease such as rheumatoid arthritis . In rheumatologiic disorders it is used in smaller doses once a week .Like all drugs it has side effects and needs to be monitored carefully by a rheumatologist or oncologist based on who is prescribing for what reason. ...Read more
I'm 67 long past menopause but i've been experiencing "hot flashes" again. I take 10 mg of prednisone daily and a shot of methotrexate weekly. Are these drugs causing flashes?
Possibly: Hormones are a type of steroid. They have similar chemical pathways in which your body can process them. It is also possible that you are having a side effect similar to a hot flash. ...Read more
If i take primoultN to postpone my periods,want to know if it is safe while taking Rheumatoid medications Celebrex, (celecoxib)Prednison,sulfasalazi,methotrexate?
Don't do ...: if not absolutely necessary. PrimoultN is a progestin. I could not find any worrisome interactions between this medication and the ones you list. However, both Celebrex (celecoxib) and prednisone (a cortisone drug) might unfavorably affect the blood clotting system; progestins like PrimoultN might promote this. With taking these 4 significant meds, I would avoid anything not absolutely necessary. Best wishes ...Read more
I have rheumatoid arthritis and take methotrexate and humira (adalimumab) injections. I want to get look better by getting filler for my face. Please let me know which ones are not in conflict with my medications. Thanks?
Filler options: You need to avoid sculptra with RA as you may be at increased risk for nodule and granuloma formation. Ha fillers like juvederm or Restylane (dermal fillers) should be safe but last only a year or so. Fat transfer is a good long term option but has more down time. Consult with a local experienced facial plastic surgeon. ...Read moreSee 1 more doctor answer
What do you advise if I'm on methotrexate for the atthritis and am newly diagnosed with fibromyalgia. what can I take that will benefit both?
Low dose naloxone: Naloxone is a powerful antagonist to opioid medications, so if you take pain meds it won't be offered. However, if not, this may be a cutting-edge treatment for both. The science is complicated, so go see a fibromyalgia specialist/pain doc or bring it up with your rheumatologist. Remember, autoimmune disorders can cause chronic muscle fatigue, so I am skeptical of the fibro diagnosis. ...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
Yes: It is safe as long as blood tests are periodically monitored. ...Read more
Ankylosing spondylit: As treatment is to reduce inflammation , reduce and prevent complications. Rx consist of pt , breathing exercises, posture and meds .Of meds pain and nsaids are followed by dmrd which include sulfasalazine, steroids, mtx and Cyclosporine . Newer tnf blockers include embrel, humira, Remicade , tociizumab and Rituxan (rituximab) . Lung disease, heart (ai) , uveitis , joint replacements by specialists ...Read moreSee 1 more doctor answer
If i took 1st dose of methotrexate 10mg weekly last friday, can I take it 1-2 days early to switch to wed or thursays from now on?
Can I take the 8 pills of Methotrexate once a week or is it better to divide it and take it everyday one pill a day on the 7th day two pills?
Depends: Please talk to your doctor. I am an oncologist and am more familiar with weekly dosing (taken all at once, once per week), but please make sure that is what your doctor intended for your treatment. Thank you. ...Read more
If methotrexate is working for ctd, d es one still need to take a break from it after a while (does it build up in the body eventually cause problems?
Not necessarily: Methotrexate can cause cumulative toxicity but your physician should be following lab work regularly. While this not a guarantee against toxicity, it is a very good safeguard. Sometimes, if the disease is clearly in remission, it is reasonable to try and reduce the dosage of medication. However, the old adage "if it aint broke, don't fix it"often applies. ...Read more
Yes, if no indicatio: It will be harmful if no indication to take. However, if there is a strong indication- it is something that is tolerable. Just like any other medication, there will be some possible adverse events- and this is something that you have to discuss with your doctor- to weigh the benefit and the risk and make a decision. ...Read moreSee 2 more doctor answers
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