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Re: Folic Acid and MTX

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That is interesting, when I discussed this my rheumatologist, she said

that I am to take it everyday, even on my MTX day. I guess just

different schools of thought. Cassy

--- In , " lindayeakel " <lindayeakel@...>

wrote:

>

> Hi Everyone, Thought I would share this with you...Hopefully all of

>

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I have been taking MTX and Folic the same day for the past 2 years and have not

notice any unusual or different.

cassy <bigbear4x4@...> wrote:

That is interesting, when I discussed this my rheumatologist, she said

that I am to take it everyday, even on my MTX day. I guess just

different schools of thought. Cassy

--- In , " lindayeakel " <lindayeakel@...>

wrote:

>

> Hi Everyone, Thought I would share this with you...Hopefully all of

>

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Guest guest

>

> Hi Everyone, Thought I would share this with you...Hopefully all of

> you knew about this. I was very surprised to learn this...I saw my

> rheumy today and learned something new about taking Folic Acid...Folic

> Acid should not be taken on the same day you take MTX

> (Methotrexate)....There is a theory that Folic Acid taken on the same

> day as MTX interfers with the absorbtion of MTX...Also, a multi-

> vitamin should not be taken on the same day as MTX as it also contains

> Folic Acid. Even though the vitamin has a relatively small amount,it

> too may interfer with the absorbtion of MTX.....I have been taken

> Folic Acid everyday and a multi-vitatim as well, even on the same day

> as I take my MTX....Perhaps this is why I have had such difficulty

> gaining control of my RA.....Hugs

>

I've heard this from others as well, but my rheumy disagrees with it.

He has me take 10 mgs of Leucovorin (Folinic Acid) at the same time I

take my MTX. I take the Leucovorin instead of taking Folic Acid. My

doctor said that many rheumatologists have their patients wait 24

hours after taking MTX to take the Leucovorin, but he hasn't seen any

difference in his patients. My rheumy also feels that the Leucovorin

works better than regular Folic Acid in fighting the side effects of

MTX. (I do also get 433mcg of Folic Acid daily in my multi-vitamin.)

I'm doing fairly well right now, currently on 15mg of MTX, and I'm

lucky to have no side effects from it.

Good luck--and definitely let us know if not taking the Folic Acid on

your MTX day helps.

dordale :)

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Hi Dordale, Thank you for your response...Taking MTX at the same time as Folic

Acid is in debate by many rheumies... He happens to be one that does not want

his patients to take both on the same day...He said when and if they prove that

it doesn't interfere than he will change his mind....As I mentioned I have been

taking both on the same day and yesterday was the first I heard not to take both

on the same day...Starting tomorrow I will not be taking both at the same

time..I will let you know if I feel a difference..It may take a few weeks before

I can tell...I will certainly talk to my rheumy about Leucovorin..Hopefully it

is covered under Medi Part D....Thank you for the input about Leucovorin....Hugs

dordale8 <dordale8@...> wrote:

>

> Hi Everyone, Thought I would share this with you...Hopefully all of

> you knew about this. I was very surprised to learn this...I saw my

> rheumy today and learned something new about taking Folic Acid...Folic

> Acid should not be taken on the same day you take MTX

> (Methotrexate)....There is a theory that Folic Acid taken on the same

> day as MTX interfers with the absorbtion of MTX...Also, a multi-

> vitamin should not be taken on the same day as MTX as it also contains

> Folic Acid. Even though the vitamin has a relatively small amount,it

> too may interfer with the absorbtion of MTX.....I have been taken

> Folic Acid everyday and a multi-vitatim as well, even on the same day

> as I take my MTX....Perhaps this is why I have had such difficulty

> gaining control of my RA.....Hugs

>

I've heard this from others as well, but my rheumy disagrees with it.

He has me take 10 mgs of Leucovorin (Folinic Acid) at the same time I

take my MTX. I take the Leucovorin instead of taking Folic Acid. My

doctor said that many rheumatologists have their patients wait 24

hours after taking MTX to take the Leucovorin, but he hasn't seen any

difference in his patients. My rheumy also feels that the Leucovorin

works better than regular Folic Acid in fighting the side effects of

MTX. (I do also get 433mcg of Folic Acid daily in my multi-vitamin.)

I'm doing fairly well right now, currently on 15mg of MTX, and I'm

lucky to have no side effects from it.

Good luck--and definitely let us know if not taking the Folic Acid on

your MTX day helps.

dordale :)

__________________________________________________

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  • 1 year later...

-

Hi Ronda.....I'm only taking 1mg of folic acid a day. And I'm taking 7

MTX a week. I have no problems with the MTX works good!

Clare

--

In , " Ronda " <mamaronda@...> wrote:

>

>

>

> I called my Rheumy's office today to discuss the side effects I've been

> having with my MTX. I've been taking 8 tablets a week for the last

4 weeks

> and am having quite a bit of stomach pain and diarrhea among other

things.

> On the sheet I was given when I started the MTX, it said to call if

I had

> these side effects. Anyway, the nurse told me that doc wants me to

> decrease my MTX to 6 tabs a weeks and increase my folic acid to 3mg

per day.

>

>

>

>

> I'm just wondering if anyone else takes that much folic acid and if

it helps

> with the type of MTX problems that I'm having. Anyone?

>

>

>

>

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I take Enbrel and 1 cc injection of MTX with 5 mg Folic acid.

--- In , " Ronda " <mamaronda@...>

wrote:

>

>

>

> I called my Rheumy's office today to discuss the side effects I've

been

> having with my MTX. I've been taking 8 tablets a week for the

last 4 weeks

> and am having quite a bit of stomach pain and diarrhea among other

things.

> On the sheet I was given when I started the MTX, it said to call if

I had

> these side effects. Anyway, the nurse told me that doc wants me to

> decrease my MTX to 6 tabs a weeks and increase my folic acid to 3mg

per day.

>

>

>

>

> I'm just wondering if anyone else takes that much folic acid and if

it helps

> with the type of MTX problems that I'm having. Anyone?

>

>

>

>

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Ronda,

You could also consider switching to injections so that you'll bypass your

GI tract.

Not an MD

> [ ] Folic Acid and MTX

>

>

>

> I called my Rheumy's office today to discuss the side effects I've been

> having with my MTX. I've been taking 8 tablets a week for the last 4

weeks

> and am having quite a bit of stomach pain and diarrhea among other things.

> On the sheet I was given when I started the MTX, it said to call if I had

> these side effects. Anyway, the nurse told me that doc wants me to

> decrease my MTX to 6 tabs a weeks and increase my folic acid to 3mg per

day.

>

>

>

>

> I'm just wondering if anyone else takes that much folic acid and if it

helps

> with the type of MTX problems that I'm having. Anyone?

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>

>

>

> I called my Rheumy's office today to discuss the side effects I've been

> having with my MTX. I've been taking 8 tablets a week for the last

4 weeks

> and am having quite a bit of stomach pain and diarrhea among other

things.

> On the sheet I was given when I started the MTX, it said to call if

I had

> these side effects. Anyway, the nurse told me that doc wants me to

> decrease my MTX to 6 tabs a weeks and increase my folic acid to 3mg

per day.

>

>

>

>

> I'm just wondering if anyone else takes that much folic acid and if

it helps

> with the type of MTX problems that I'm having. Anyone?

>

Another thing you could ask your rheumy about is Leucovorin (folinic

acid). That's what my doctor has me take instead of folic acid. He

says it works better on MTX side effects than folic acid. I take 10mg

weekly at the same time I take my MTX. My doc says that a lot of

doctors want their patients to wait 24 hours after taking the MTX to

take Leucovorin, but he doesn't notice a difference, so just take it

at the same time.

I don't have any side effects from MTX (I've been on 15mg/week for a

little over two years now.

dordale :)

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