Methotrexate concerns
Posted , 53 users are following.
Methotrexate is a potent drug with many side effects. Even those on low doses normally report adverse reactions, often very unpleasant and adding to their other health problems rather than clearing them up.
I was prescribed it, and stuck it out for a year before deciding that it was doing me more harm than good. It did little to reduce the symptoms of my psoriatic arthritis, but made me feel dull and depressed, gave me digestive problems and diarrhoea, made my hair fall out and I had constant flu-like problems. All of this cleared up when i stopped taking it agaist the advice of doctors.
These doctors looked on me as a stupid woman for listening to my body and not to their text-book 'wisdom'. Unfortunately they seem have a lot less respect for me now.
I understand that not too long ago Methotrexate was a drug of 'last resort' if less powerful drugs did not work. Now it is described as the 'gold standard' and given as an early precaution in case arthritis progresses to cause damage to joints. This seems like giving morphine for a headache in case it progresses to migraine-execept that morphine has fewer side effects.
To those of you taking the drug, or under pressure to do so. Keep a diary of benefits/side effects and consider whether Methotrexate is helping or hindering you.
14 likes, 74 replies
sandra_31801 Guest
Posted
leonard12916 Guest
Posted
annette25895 leonard12916
Posted
annette25895 Guest
Posted
bgyrmi Guest
Posted
Having read through some of the discussion here it seems there is a lot of negative feeling towards methotrexate that is not always warranted. I have had psoriac arthritis for around twenty years and have been on 25mg Mtx tablets for many years now, alongside the anti inflamatory drug celebrex. While it does not always control my symptoms fully I could not function without it. People vary in their reaction to any drug and Mtx is no different in that respect, some people tolerate it much better than others and currently there is no way of telling who until they try. Many of the problems people have are due to Mtx being an inhibitor of folic acid metabolism which is an essential function in the cell but is not part of its mode of action in arthritis control. If your folic acid levels are low it will inhibit cell division and you will feel tired. Hence it is important to manage your folic acid supplementation properly, I always take my Mtx with my evening meal then take between 1 and 5mg folic acid from 24 hrs later and for at least three days, but you should give at least 12hrs between taking Mtx and folic acid supplementation to allow time for absorption of the Mtx. If you can get your folic acid supplementation right for you then you will probably find the side effects much more manageable. Other than that the one known interaction of Mtx is with caffine, so if you drink a lot of coffee (more than 4 cups a day) then you may be interferring with the anti inflamatory effects of Mtx and not getting the best out of it. To anyone wondering about starting on Mtx, I would say do not be afraid of it, while some people can not tolerate it many more do so quite well, and it is much better than getting irriversible joint damage.
michelle43219 Guest
Posted
I feel like absolute poop for 2 days after taking MXT. I have been diagnosed with RA, the irony being that it was the cancer drugs that gave me RA! I had a bone marrow transplant 10 years and am grateful ot be here please dont think that but the tiredness, the headaches, the mouth ulcers and the general "foggy brain" feeling is making me think that the RA pain which admittedly is much better is not worth it.
Does anyone else feel a bit "depressed"??
I work full time and feel "cant be arsed" most of the time.
Is it me??
clarafication Guest
Posted
michelle43219 clarafication
Posted
I take both too. Some days are better than others. I'm hoping that another few weeks of MTX and the general "blech" feeling will rescind a bit.
I live in hope!
carolbrady1 Guest
Posted
krishnaji41 Guest
Posted
sasha12600 Guest
Posted
Thank you for your post. I too am going out on my own without methotrexate. It's been just about 1 yr that i have been shooting myself 20-25 mg. weekly. The last straw was water on the lungs". It hurt sooo bad to breath more than a thimble full of air. I researched what was the cause and saw chemo. that was enough, i found a great nutritionist and we immediately started getting the inflamation out of my body with health food supplements. i went off the meth for 2 weeks, the pain in my legs was pretty bad so I injected myself again for 2 weeks. I stopped when i stopped eating all the crap that causes imflamation in the body...score! I am 2 weeks off again, almost a Vegan, lots of supplements from the healthfood store, weekly Massage, and just about to look into accupunture.... Keeping hope alive.. I say keep reading, keep researching, keep listening to your own body but get off that Meth-o-trexate before your liver and body shut down...meanwhile the medical doctors get a great commission from getting you on the drug....please be careful....God bless everyone with RA.
terri69633 sasha12600
Posted
Thank you for your post. I am thinking along these same lines. I've noticed that diet is pivotal in how I feel on any given day. That tells me I need to investigate possibilites other than drugs.
terri69633 Guest
Posted
Thank you for your post. I am supposed to start MTX next week for RA and I don't think I'm going to do it. Am anticipating grief from my rheumatologist but I have specific misgivings such as yours. Also, the fact that there is no cumulative effect to the good from this drug bothers me: subject my body to toxins indefinitely? Because when you go off it, it seems you're back to square one. And I can't imagine teaming this drug up with other drugs, to boot.
Insult to injury, I'm starting off with an otherwise very healthy body, at 63 years of age. It seems a shame to compromise myself all over next week (and maybe die) rather than have the opportunity to assess my situation in smaller chunks. Perhaps I make no sense - maybe I'm wrong - but this is my gut instinct.
janet23335 Guest
Posted
Hi I was prescribed methotrexate by the hospital a month ago but when I got home undecided whether or not to take them I Googled what the side effects would be and I must admit it scared me to even think of taking something that could make me feel worse with all the side effects. So I decided against taking them. I told my doctor about my concerns he wasn't happy. And said if you knew what paracetamol did to you you wouldn't take them. I thought there is a big difference between methotrexate and paracetamol. I mentioned it to my sister and she said she Googled methotrexate side effects and said to me do not take them. I am terrible with medicines I have terrible side effects. And I don't want to damage my body anymore by being a guinea pig.
Surreal janet23335
Posted
Lol, whoever warned you about paracetamol, or as we know it in the United States, acetaminophen, was right on point. Very few people seem to understand that Paracetamol is easily overdosed and frequently fatally . If you overdose on Vicodin ( hydrocodone and paracetamol,) the paracetamol moiety will kill you long before the opiate will. The maximum dosing per day is very strict. People think because it’s over the counter, it’s harmless. It causes permanent liver failure. Permanent – The liver doesn’t recover (unless a significant part of it is unharmed) and you need a transplant. But you can’t wait for a liver to show up on a waiting list, we don’t have dialysis for the liver. If they don’t have an immediate match for you, you will die. Methotrexate is also a dangerous drug, but over the years we’ve learned the side effects and who is a higher risk for them. Your doctor should be monitoring you for each and every one of them, on the outside chance something serious happens. My daughter has been on methotrexate for 10 years and has had wonderful positive effects from it. It didn’t do anything good for me.