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Folic acid and Methotrexate

Posted , 7 users are following.

Dinah54
Dinah54

I'm still confused about this. I take the prescribed 5mg once a week, not on sane day as mtx.

But the medical information (not forum) on this site says categorically not to take any vitamin preparations which contain folic acid. I take a Beroca multi vitamin every day except Monday (mtx day) and Friday (folic acid day) Along with other B vitamins and C it contains 360 micrograms of folic acid. Could this do any harm?

0 likes, 24 replies

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  • mrsmop
    mrsmop Dinah54

    Posted

    Hi Dinah, either ask your Consultant, or the hospital Pharmacist - he will be used to dispensing it.
  • Emis_Moderator
    Emis_Moderator Dinah54

    Posted

    Hi Dinah,

    I've had a look at the Medicine leaflets for folic acid and methotrexate and see where your confusion is. I will ask our pharmacist to check the leaflets as they are contradictory.

    Regards,

    Alan

    • mrsmop
      mrsmop Emis_Moderator

      Posted

      That's very useful Alan, I hadn't realised you had a Pharmacist available to you.

       

    • Emis_Moderator
      Emis_Moderator mrsmop

      Posted

      To clarify - this is the pharmacist in charge of the authors who write the medicine leaflets, not for consultations/advice smile. I'll get back with her reply when I hear.
  • maggie15623
    maggie15623 Dinah54

    Posted

    Hello Dinah,  the 360 micrograms is a very tiny extra amount isn't it?  But just to confuse things more, I have always understood the norm was to take the folic acid tablet the day following the methotrexate.
    • Dinah54
      Dinah54 maggie15623

      Posted

      My consultant seems to work on an alliteration basis! Monday Methotrexate, Friday Folic Acid. Easy to remember apparently....
  • johnfs49
    johnfs49 Dinah54

    Posted

    I have been on MTX since 2003 and take 20mgs.

    I was told to take 5 mgs of Folic acid every day except MTX day.

    On a repeat presciption a couple of years back it said take twice a week.

    I ask the phamacist about this the next day and he checked it. He said carry on as i had been taking every day exce0pt MTX day as my consultant had said from the start. He also said it was probably the main reason that i have had NO side effects from the MTX in 13 years.

  • mrsmop
    mrsmop Dinah54

    Posted

    Regarding the Folic Acid and the MTX, the best thing to do, is to follow the instructions of your prescriber, a Consultant in the UK,  I don't know about other countries.

    My Consultant asked me to take my MTX and Folic acid together after I had an adverse reaction to the MTX and it worked like this for 18 months.

     

  • cheria
    cheria Dinah54

    Posted

    Folic acid is extremely important to take with methotrexate. That is why you have been given this by your doctor. Your health will decline very fast and your immune system even further compromised for further loss of health and other diseases without it. The information you are reading is not correct and i dont know what the reason or agenda would be to have such an important faucet of your disease management misrepresented on this web page. You will find consistant and correct folic acid supplement with methotrexate information consistantly in the world wide web. Where are you finding this misleading information?
    • Dinah54
      Dinah54 cheria

      Posted

      It's on the patient.info website but the moderator is very helpfully investigating the information given. I'm not questioning the dose prescribed by my doctor - just whether any extra supplementation could have ill effects
    • cheria
      cheria Dinah54

      Posted

      The supplementations are what have saved my life and prevented my RA health from taking devistating turns..no more fibromyalga..no adrenal failure..no other connected diseases that attach themselves to RA from not feeding my body where starvation and disease lies. Nutrition and supplements are an absolute must so that you do not deterioriate further, giving disease honor. Any ridiculous information that leads you to not taking care of yourself proactively, has another goal.
    • Yejyde
      Yejyde cheria

      Posted

      I don't take supplements and I'm fine just being on MXT. Supplements need not come from tablets as you can get them from food if your diet is right.
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