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Methotrexate dose and effectiveness


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#1 greypilgrim256

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Posted 28 November 2014 - 04:09 PM

Hello all, and Happy Thanksgiving.  I'm currently up to my 5th week of Methotrexate and it seems to be going well.  I am only on 7.5mg a week, which my understanding is a very low dose. 

 

Has anyone been on a similar dose?  Was it effective? 

 

I am currently weaning my Prednisone down and am worried about the terrible joint and muscle pain coming back as I wait for the MTX to start working, which I understand can take 3-6 months. 

 

 

 



#2 Joelf

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Posted 29 November 2014 - 06:34 AM

Hi Greypilgrim,

 

I'm very pleased to hear that the Methotrexate is going well; I understand that it can take a while for the medication to work and for any side effects to settle down. It is possible that you may experience more joint pain as you wean down the Prednisolone; however, as you're no doubt aware it should be done very gradually and so hopefully by the time you've got down to a low dose or been able to come off it altogether, the MTX should have kicked in.

 

If you can reduce the Prednisolone, I think it would be beneficial: unfortunately, I'm now experiencing another delightful little side effect of the steroids in as much as I have developed Avascular Necrosis in my hip joints necessitating bilateral hip replacements. That's curtailed my activity somewhat!!  ;) :o

 

Kind regards,


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#3 Amanda Thorpe

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Posted 29 November 2014 - 03:04 PM

Hello GreyPilgrim

 

I was on methotrexate for about 10 months and just tried it again recently for a month. First time round it made me nauseous for a few days after the dose for a few weeks then no problems until month 10. As with mycophenolate I had few problems with immunosuppressants but the hit intolerable ones. This time it wiped me out immediately so that I was just asleep! I was trying it as a last ditch attempt to heal my foot ulcers, it didn't and as as agreed by my husband I stopped taking it again.

 

Many people take it without incident and you could be one, let us know how it goes.

 

Take care.


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