Rheumatoid Arthritis Support Group
Rheumatoid arthritis is a chronic, inflammatory, multisystem, autoimmune disorder. It is a disabling and painful condition which can lead to substantial loss of mobility due to pain and joint destruction. The disease is also systemic in that it often also affects many extra-articular tissues throughout the body including the skin, blood vessels, heart, lungs, and...
with leucovorin (spelling) or folic acid.
first the pills the the injections.
then a long heart to heart after multiple years of infections, especially pneumonias and the self care needed to medicate around mtx and the brain fog were going to result in the loss of my job which holds up an entire house of cards.
consult with pulmonologist and rheumie ended up with my chart officially notating that we have parted mtx ways, permanently. i don't get the kick I should get from my biologic because I now refuse to pair the mtx with it. the rheumie has to work harder with me as a stand alone biologic person (i worked through ALL the dmards in six years). i am sicker RA wise but I am a better employee at work even though I am hobbling around.
i am happy for the folks who can work full time with this drug and not get repeated infections or hospitalizations. for those that can self care around and with this med I also hug.
I am also glad folks can pay cash for this med when the chips are down health insurance wise. it is available and widely used.
Ros
It can have a cumulative effect in your liver.
I quit it in Dec 2011 along with all medication because it was suspected that it was methotrexate and another drug. It ended up being methotrexate and Cymbalta. BAD POWER COMBO!
I called my rheumatologist he said those are not usual symptoms and asked if it would help to cut dose he said to cut to .5ml if I wanted
I need help with some questions
1 is 15mg a usual starting dose for injection
2 is runny nose, cough and sore throat possible side affects
3 when will the side affects get the worst and start to get better
4 do you think it is a good idea to lower dose if so by how much
Taken off 7 tablets (17.5) after first 18 months or so because of liver enzyme results. Some loss of hair but not so much nausea that first round. After a year off and failure of arava put on at lower dose of 5 tablets (12.5mg) with 5 mg of prednisone daily to back up. his has reduced to 2.5mg in the good times but was not able to give it up entirely and now back on 5mg when not on a higher dose for problems.
Whether mtx or prednisone get a lot of red marks on skin eg site of blood tests, little knocks. Also have some RA nodules which I think is the disease and not drugs.
More hair loss which settled to a steadier amount after a year or so. Last two years of mtx a lot of brain fog and feeling horrible day after dose. Bloated gut for day after always. Have tried taking the mtx with Vit C which helped for a while, keeping fluid intake up and spreading out the dose or taking all at once.
Not sure I can say any scientific consistency in what I tried. I am inclined to think the Vit C improves matters slightly - especially the "good Vit C" - ie slower release ones. At the moment 2 tablets at lunchtime and three at night also working better in terms of side effects but the mtx wall of protection is definitely being breached by the inner beast nowadays.
I have had plaquenil added a year ago (400mg a day) and the folic (5mg taken day after mtx).
I probably will be asked to try increased mtx but because of the liver issues before and day after nausea the rheumy says reluctant to try that.
I assume you have been put on this and want to know what to expect but as so often with any drug for anything issues, if any, vary.
Incidentally, I slightly know a woman whose husband (now mid 70s) has been on mtx 20 years and does well on it. i could make a "male" remark here but will leave others to think of what in my head!!
I now think if your really feeling like crap admit it and try something else. I really hated MTX. My side effects got worse when combined with my current biologic. Finally I stopped . My new doc was cool with it. My old doc would have made me feel like a rebel with her sighs, and telling me, "This is not normal, side effects worse after two years (eye roll)."
The last 2 weeks that ill feeling has gone well into Saturday's as well. Sad that i have to plan my injections when it's more convenient for me to feel sick so I don't miss work.
So far not getting relief from it either... hopefully soon.
The fatigue is awful. I have it every. single. day. It's worse the couple days after my injection.
Couple weeks ago I came down with a bad cold the day before injection. I decided to skip that week so that I could get over my cold better. This was on a Thursday, by Monday, I felt so good I couldn't believe it. I had energy, was able to keep up with the family while shopping. It felt great! Thursday rolled around, took my injection and now back to the same ole fatigue.
I did some cooking today for Thanksgiving and it wore me out. I only fixed 2 things. It's not like it was hard or anything. *sigh*