6 doctors weighed in:
What do you think about the use of methotrexate to treat sarcoidosis and what are the alternatives besides prednisone?
6 doctors weighed in

Dr. Thomas Byrnes
Family Medicine
4 doctors agree
In brief: Can be effective
Methotrexate can be effective for long term control of sarcoidosis symptoms.
Complicated though, requires baseline labs and chest x-ray then regular monitoring of cbc, liver and kidney function. The care should be overseen by rheumatologist and pcm familiar with potential side effects and drug interactions. Much less $$ than other immunomodulating meds. Prednisone still required sometimes.

In brief: Can be effective
Methotrexate can be effective for long term control of sarcoidosis symptoms.
Complicated though, requires baseline labs and chest x-ray then regular monitoring of cbc, liver and kidney function. The care should be overseen by rheumatologist and pcm familiar with potential side effects and drug interactions. Much less $$ than other immunomodulating meds. Prednisone still required sometimes.
Dr. Thomas Byrnes
Dr. Thomas Byrnes
Thank
Dr. Marci Dietrich
Bariatrics
1 doctor agrees
In brief: Sarcoidosis help
As a caucasian physician with active sarcoidosis bx done and proven.
Prednisone is not absolutely necessary execept in a few situations; ie cardiac, joint pains, neurologic, orther organ involvement. Methotrexate can be very useful in certain conditions.Prednisone can be used for flare-ups placquenil can also be utilized.I believe trying to change your lifestyle ie pH balance of body, exercise helps.

In brief: Sarcoidosis help
As a caucasian physician with active sarcoidosis bx done and proven.
Prednisone is not absolutely necessary execept in a few situations; ie cardiac, joint pains, neurologic, orther organ involvement. Methotrexate can be very useful in certain conditions.Prednisone can be used for flare-ups placquenil can also be utilized.I believe trying to change your lifestyle ie pH balance of body, exercise helps.
Dr. Marci Dietrich
Dr. Marci Dietrich
Thank
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