The Methotrexate and Diclofenac was a Horrible Mistake

Posted , 4 users are following.

I posted previously about my husband's experience with a general practitioner that saw his high RF factor, and simply prescribed Methotrexate and Diclofenac without any follow up at all. He suffered 7 weeks on those drugs, and finally was able to get into a Rheumatologist this week!  The Rheumy was actually upset that the GP would do that, and ordered him to stop taking them immediately.  He said that without any xrays at all, he can't just assume it's RA. And with the stomach ulcers in the past, and a current ultrasound showed lesions in the esophagus, he should not be taking NSAIDs of any kind. He had a major bout of internal bleeding a few days before the appointment that the Rheumy said could have killed him. 

His diagnosis so far is actually fibromyalgia, joint pain, liver damage, and possible esophageal cancer or esophagitis. He felt it's possible he may have early RA, and has ordered several xrays of hands/feet/back, plus a very specific round of blood tests to ascertain the issues.   So thankful for the new doctor!  And for everyone who responded to my earlier queries here. The Methotrexate made him so miserable, and the NSAID nearly put him in the hospital. 

0 likes, 5 replies

Report / Delete

5 Replies

  • Posted

    ps. He was prescribed Gabapentin and Prilosec, and is forbidden from taking any NSAID or Tylenol products, now. 
    Report / Delete Reply
    • Posted

      i thought to be prescribed methotrexate u had to be seen by a Rheumatologist first and a general practittioner would not be allowed to prescribe metho until been seen by RA doctor..
      Report / Delete Reply
    • Posted

      That is certainly the case in the UK Bob - but trixietyme is in the US I think since she mentions Tylenol.

      I have to say - I'm appalled ANYONE would assume a high RF factor alone meant it was definitely RA and hand out methotrexate. GPs in general (there are exceptions to be fair) are far too keen on giving patients NSAIDs - but panic when a patient is put on steroids

      Report / Delete Reply
    • Posted

      Yes, in the US. A GP is really discouraged from prescribing Methotrexate like that, especially with no follow up at all. Reckless!  I agree so much on the NSAIDs, they are a major problem and so overused. Hoping this is the path to figuring it all out. Glad this doctor is actually taking hand/feet/back xrays to assess damage.  
      Report / Delete Reply
  • Posted

    What a time you've both had! Hopefully now the balls rolling he'll start some effective treatment. I sincerely hope so. Carol x

    Report / Delete Reply

Join this discussion or start a new one?

New discussion Reply

Report or request deletion

Thanks for your help!

We want the forums to be a useful resource for our users but it is important to remember that the forums are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the forums is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.

newnav-down newnav-up