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Mtx pills - AM or PM?

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when my daughter was on mtx pills she took them at night, I found they made her

tired so night was best and she had them after supper , I was never told if it

mattered or not about eating food first but she did have hers always after

supper. it can be hard on the stoamche so I assume it can't hurt to have

something to eat first .

>

> Do you take your Mtx pills in the morning or at night? With or without food?

>

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PM Friday night, so they have the weekend to get over side effects. MTX shots

anytime any day.Pills are like Russion Roullete. You may give a certain dose

oraly but your child most likely is getting much less. EX your child takes 15mg

MTX oraly, the body may only absorb 5mg. Given in shot form your child gets the

entire dose and as said, it goes through the liver once not twice.A little

over a decade ago it was common to HAVE to get liver biopsies after every gram

of MTX.You really need to treat your child like they had Cancer.Slam it hard,get

control,then reduce.

My own son was diagnosed at two with SOJRA and we thought we were going to

lose him.His disease hit so hard and heavy that we had a diagnosis in three

weeks but had to wait another three weeks to start DMARD treatment.We bombarded

him before age four and it put him in a medicated remission.At 6 he had a set

back from taking him off the MTX but put him back on and waited .Years of

medicated remission went by and now he is 2 months drug free. He has played

baseball for 7yrs and played football yr before last.He can do anything he wants

as long as HIS body says it is ok.This summer he is trying out for his middle

school football and baseball team.

You have to stay calm,be patient,learn all you can, and pray for the best.Try

not to worry about drug side effects, but getting results NOW.Worry about the

what if's later. The cure will come and there is already cures for unforseen

side effects.

Becki and 12 SoJRA

________________________________

From: watt_melanie <melaniescott79@...>

Sent: Thu, April 7, 2011 3:45:40 PM

Subject: Re: Mtx pills - AM or PM?

when my daughter was on mtx pills she took them at night, I found they made her

tired so night was best and she had them after supper , I was never told if it

mattered or not about eating food first but she did have hers always after

supper. it can be hard on the stoamche so I assume it can't hurt to have

something to eat first .

>

> Do you take your Mtx pills in the morning or at night? With or without food?

>

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Our rheumy had us give the MTX on an empty stomach when my son was on the pills.

She said it doesn't get absorbed as well when taken with food. He was taking 4

pills total, so she had us give it to him in 2 separate doses. 2 pills with

water only (no milk) at bedtime (at least 2 hours after eating anything) on

Friday night, then the other 2 with water 8 hours later early Saturday morning

and then let him fall back asleep to reduce side effects. She said that there

were studies done showing that it was the best way to get the maximum results

from the pills.

That being said, my son's arthritis wasn't getting better with the MTX pills.

She eventually switched him to the maximum dose of MTX in the shots instead. I

totally agree with Becki, the shots have helped tremendously! Our rheumy also

mentioned that it is better for the liver as well. fought me on the

shots at first, he's always been terrified of needles and has lots of anxiety

when it comes to any poking...even a finger poke. He's much better about it

now, in fact, his feelings about the shots have changed a ton. They've changed

so much that when he had to skip a dose 2 weeks ago from having a fever, he

ended up having a lot of pain in his knees. I don't think it was caused from

missing one shot, but he was convinced it was and couldn't wait until the next

Friday so he could have one! That's how much it has made him feel better!!

& , 12, poly

From: sojramom@...

Date: Thu, 7 Apr 2011 21:19:58 -0700

Subject: Re: Re: Mtx pills - AM or PM?

PM Friday night, so they have the weekend to get over side effects. MTX shots

anytime any day.Pills are like Russion Roullete. You may give a certain dose

oraly but your child most likely is getting much less. EX your child takes 15mg

MTX oraly, the body may only absorb 5mg. Given in shot form your child gets the

entire dose and as said, it goes through the liver once not twice.A little

over a decade ago it was common to HAVE to get liver biopsies after every gram

of MTX.You really need to treat your child like they had Cancer.Slam it hard,get

control,then reduce.

My own son was diagnosed at two with SOJRA and we thought we were going to

lose him.His disease hit so hard and heavy that we had a diagnosis in three

weeks but had to wait another three weeks to start DMARD treatment.We bombarded

him before age four and it put him in a medicated remission.At 6 he had a set

back from taking him off the MTX but put him back on and waited .Years of

medicated remission went by and now he is 2 months drug free. He has played

baseball for 7yrs and played football yr before last.He can do anything he wants

as long as HIS body says it is ok.This summer he is trying out for his middle

school football and baseball team.

You have to stay calm,be patient,learn all you can, and pray for the best.Try

not to worry about drug side effects, but getting results NOW.Worry about the

what if's later. The cure will come and there is already cures for unforseen

side effects.

Becki and 12 SoJRA

________________________________

From: watt_melanie <melaniescott79@...>

Sent: Thu, April 7, 2011 3:45:40 PM

Subject: Re: Mtx pills - AM or PM?

when my daughter was on mtx pills she took them at night, I found they made her

tired so night was best and she had them after supper , I was never told if it

mattered or not about eating food first but she did have hers always after

supper. it can be hard on the stoamche so I assume it can't hurt to have

something to eat first .

>

> Do you take your Mtx pills in the morning or at night? With or without food?

>

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We did ours at night right before bed, I hope this helps.Terri B

From: C

Sent: Thursday, April 07, 2011 12:00 AM

Subject: Mtx pills - AM or PM?

Do you take your Mtx pills in the morning or at night? With or without food?

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