Coughs and colds with MTX

Have you been taking your folic Acid tablets 24 hours after your MTX dose, most important helps with Vitamin B levels that the MTX wipes out.

I have been on MTX for 10 years now, am on 35mg once a week, as well as another immunine suppressor, so always watch for infections.  Get on top if possible chesty issues fairly quickly, Vit C and or multi vitamins for a start, and then if I have to see the GP, he gives me antibiotics especially if I am running a temp.

Thank goodness I don't have a lot of problems, even through a double hip replacement scared me a little that I might get an infection but hospital extra careful and I also used common sense.

Didn't take my MTX the same week of my surgery, surgeon approved, and because I am on MTX you are cyto toxic, dressed in bright purple, all dressings bagged up in purple bags, every time nurses had to deal with me dressed in purple aprons, purple sheets on bed, purple gowns rather than my own.

Caused a little anxiety as to why I was being treated differently to others in the ward, but when I explained why and also explained it couldn't affect them, but their germs could kill me, nurses also backed up my explaination even though it was a little simplistic.

I do not treat myself as though I am going to die from the first infection that hits me, go swimming in the local heated pool, nobody has told me not to, been doing it for years now, helps with exercises post hip replacemnts, do my own shopping, nothing has more nasty bugs than supermarket trolleys ughhhh, generally try to be sensible, wash hands, don't rub eyes with unwashed hands, general sensible clean rules, ceratinly don't go crazy with cleaning, you do need some bacteria.

No I have had two bouts of very bad chesty coughs and colds. Its getting everyone right now whether they are on MTX or not! Just keep taking your RA meds and ride the storm out! Its a nasty strain but I know so many people who have had it.

Hi

methotrexate does lower immune system but to be honest everyone has coughs and colds at the moment. I was told only to go to GP promptly if have an infection( throat , chest tummy bug etc) as may need antibiotics more than someone not on immune suppression drug. 

I Personally haven't had much problem with this in 3 years. I ve just missed out 1 weeks mxt as I was struggling to get rid of a cold- but that hasn't developed into an infection. I guess if you buy something over counter for cough it's worth checking ok with mxt.

A very very few people end up with mxt induced lung problems which stop when drug withdrawn. So it may be worth reading up on that so you know what that looks like.

 

I am on methotrexate, plaquenil and orencia. I take folic acid daily and all the vitamin supplements I can get. I've had a morning cough with flame for about a year (quite smoking 6yrs ago). Doctors said its sinus drainge or something like that. The cough did not get worse but it's throughout the day now, sometimes dry, sometimes with flame and they still say its sinus, allergies, anything but med related. So just keep the doctors updated if the cough feels different or comes with shortness of breath or fever or rash and symtoms like that.

Scary.... but you really just have to be careful without being paranoid (when you figure out how, let me know)....)