Can I use methotrexate to treat psoriatic arthritis when I also have gallbladder stones and severe attacks?

Yes, but... ...Why are you enduring the pain and risk of frequent gallbladder attacks? In the modern era of minimally invasive surgery, the risks are often greater to continue to have gallbladder attacks rather than the risk of surgery. Have you spoken with your primary care physician or rheumatologist about these attacks?
Yes you can use MTX! Methotrexate (mtx), is best given by subcutaneous injection, thereby bypassing the liver, which is not if taken orally. Virtually no liver issues occur if the oral dose is switched to the s.C. Route, in tradional doses of 10-25mg per week.
Depends. Ask your doctor(s). Gallstones are not listed as a side effect of Methotrexate by the us fda, but there are reports of gallstones in people taking Methotrexate so it's theoretically possible that it could worsen your problem. A low dose may be reasonable. There are also other treatments for psoriatic arthritis. Your doctor(s) can give you the best individualized advice about this complex question.

Related Questions

It's okay to use methotrexate to treat psoriatic arthritis when you also have gallbladder stones and severe attacks right?

Yes. You mean want to use the injectable form rather than the oral form. Using it subcutaneously gives a better response with less risk of side effects. Read more...

Is it safe to use methotrexate to treat psoriatic arthritis when you also have gallbladder stones?

Yes. Because mtx suppresses the immune system, you would not give it to someone who has an infected gall bladder. Asymptomatic stones without infection or duct obstruction, where surgery is not recommended would be ok. Mtx can cause liver injury (chemocal hepatitis) but it doesn't affect the gall bladder. Read more...

I'm taking methotrexate along with folic acid. Are there any holistic medicines to treat my psoriatic arthritis?

Absolutely. I am a big fan of anti- inflammatory diets in general and they go farther than just taking a supplement. I personally am a vegan and the health benefits are enormous. Consider reading the books thechina study, forks over knives, and preventing and reversing heart disease. I have seen patients with inflammatory arthritis go into remission just by diet changes. Read more...
Yes, many. There are a huge array of holistic/complementary approaches to treating psoriasis and psoriatic arthritis. See http://www.Thorne.Com/altmedrev/.Fulltext/12/4/319.Pdf ; http://www.Familynaturopath.Ca/tips-resources/articles/solving-psoriasis/ ; http://homeopathyplus.Com.Au/psoriasis-treated-by-homeopathy/ ; http://bit.Ly/17eaeuh i advised working with a good holistic md ;/or homeopath. Read more...

I have psoriatic arthritis and suffer chroinc fatigue. Can you suggest additional medication to ask my gp for in addition to methotrexate?

See details. If your disease is poorly controlled you need to be on a biologic agent in addition to the methotrexate. You need to be under the direct care of a rheumatologist even in the National Health System. Finally, stop smoking as this makes the psoriatic arthritis much worse. Read more...

On 1mg folic acid & methotrexate 25mg for psoriatic arthritis/psoriasis. Want to increase to 2mg folic acid. Is this ok? Any side effects/disadvantage

Should be fine. Folic acid is a water-soluble b vitamin. Very difficult to overdose as the excess is excreted by the kidneys. You will likely not achieve hypervitaminosis with this dosage unless you have pre-existing kidney disease. Read more...
No benefit. You will get no benefit from more fa. Read more...