Guest guest Posted April 21, 2006 Report Share Posted April 21, 2006 The majority of docs tell their patients to take their folic acid every day. Sierra > > Hi all, > After reading some of the postings over the past few days, I am wondering if I missed something vital. Are you not supposed to take folic acid on the days you take MTX? I have been. I tried to call the dr yesterday, still waiting for him to call me back. Any help from anyone out there will help, I am scheduled to take the MTX with my dinner tonight. Does taking them together really mess up the purpose of the MTX? Yikes!! Thanks for any help, Peggy > > > --------------------------------- > New Messenger with Voice. Call regular phones from your PC and save big. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 21, 2006 Report Share Posted April 21, 2006 Hi Peggy, my Rheummy says Absolutely no way take the folic acid on the day of the mtx, so did my last rheummy, but from what I believe they all have different views on this...check with yours. [ ] folic acid/MTX Hi all, After reading some of the postings over the past few days, I am wondering if I missed something vital. Are you not supposed to take folic acid on the days you take MTX? I have been. I tried to call the dr yesterday, still waiting for him to call me back. Any help from anyone out there will help, I am scheduled to take the MTX with my dinner tonight. Does taking them together really mess up the purpose of the MTX? Yikes!! Thanks for any help, Peggy --------------------------------- New Messenger with Voice. Call regular phones from your PC and save big. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 21, 2006 Report Share Posted April 21, 2006 With all the crap I listened to with my former Rummy, I'd investigate before I made any changes. First, I was told that since I took my MTX on Sunday, I had to take my blood test on Thursday, 4 days after the shot to let the blood settle and the test more accurate. Then, I was told that I had to do the blood test on Tuesday because they weren't in the clinic on Thursday and Friday. Also, there was no mention of Folic Acid, which was causing me problems. I finally found out the real facts here and adjusted my FA to work right. Whatever you do, do research as much as possible, and listen to the knowledgeable ones on this list! I take my FA every morning and don't stop on any day for any reason. Dennis [ ] folic acid/MTX > > > Hi all, > After reading some of the postings over the past few days, I am > wondering if I missed something vital. Are you not supposed to take folic > acid on the days you take MTX? I have been. I tried to call the dr > yesterday, still waiting for him to call me back. Any help from anyone out > there will help, I am scheduled to take the MTX with my dinner tonight. > Does taking them together really mess up the purpose of the MTX? Yikes!! > Thanks for any help, Peggy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2006 Report Share Posted April 24, 2006 actually my pharmacist also agreed that folic acid and/or my vitamin b complex should *not* be taken on the same day as the mtx. bon/boys --- In , " oneoften71 " <oneoften71@...> wrote: > > Hi Peggy, > my Rheummy says Absolutely no way take the folic acid on the day of the mtx, so did my last rheummy, but from what I believe they all have different views on this...check with yours. > > [ ] folic acid/MTX > > > Hi all, > After reading some of the postings over the past few days, I am wondering if I missed something vital. Are you not supposed to take folic acid on the days you take MTX? I have been. I tried to call the dr yesterday, still waiting for him to call me back. Any help from anyone out there will help, I am scheduled to take the MTX with my dinner tonight. Does taking them together really mess up the purpose of the MTX? Yikes!! Thanks for any help, Peggy > > > --------------------------------- > New Messenger with Voice. Call regular phones from your PC and save big. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2006 Report Share Posted April 24, 2006 Really? Did he say why? bonniebaron <bonniebaron@...> wrote: actually my pharmacist also agreed that folic acid and/or my vitamin b complex should *not* be taken on the same day as the mtx. bon/boys --- In , " oneoften71 " <oneoften71@...> wrote: > > Hi Peggy, > my Rheummy says Absolutely no way take the folic acid on the day of the mtx, so did my last rheummy, but from what I believe they all have different views on this...check with yours. > > [ ] folic acid/MTX > > > Hi all, > After reading some of the postings over the past few days, I am wondering if I missed something vital. Are you not supposed to take folic acid on the days you take MTX? I have been. I tried to call the dr yesterday, still waiting for him to call me back. Any help from anyone out there will help, I am scheduled to take the MTX with my dinner tonight. Does taking them together really mess up the purpose of the MTX? Yikes!! Thanks for any help, Peggy > > > --------------------------------- > New Messenger with Voice. Call regular phones from your PC and save big. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 25, 2006 Report Share Posted April 25, 2006 i'm sorry, i think he did but at that point i was so overwhelmed, i don't remember. when i go for my refills i'll try to remember to ask and actually retain that memory till i get back online again ! ! ! hugs, bon/boys > > > > Hi Peggy, > > my Rheummy says Absolutely no way take the folic acid on the day of > the mtx, so did my last rheummy, but from what I believe they all > have different views on this...check with yours. > > > > [ ] folic acid/MTX > > > > > > Hi all, > > After reading some of the postings over the past few days, I am > wondering if I missed something vital. Are you not supposed to take > folic acid on the days you take MTX? I have been. I tried to call the > dr yesterday, still waiting for him to call me back. Any help from > anyone out there will help, I am scheduled to take the MTX with my > dinner tonight. Does taking them together really mess up the purpose > of the MTX? Yikes!! Thanks for any help, Peggy > > > > > > --------------------------------- > > New Messenger with Voice. Call regular phones from your PC > and save big. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2006 Report Share Posted April 26, 2006 hello, i'm taking folic everyday w/prednisone and mtx once a wk. now i'm beginning to wonder. why wouldn't taking it with mtx be o.k.? does anyone know? thak-you kathie bonniebaron <bonniebaron@...> wrote: i'm sorry, i think he did but at that point i was so overwhelmed, i don't remember. when i go for my refills i'll try to remember to ask and actually retain that memory till i get back online again ! ! ! hugs, bon/boys > > > > Hi Peggy, > > my Rheummy says Absolutely no way take the folic acid on the day of > the mtx, so did my last rheummy, but from what I believe they all > have different views on this...check with yours. > > > > [ ] folic acid/MTX > > > > > > Hi all, > > After reading some of the postings over the past few days, I am > wondering if I missed something vital. Are you not supposed to take > folic acid on the days you take MTX? I have been. I tried to call the > dr yesterday, still waiting for him to call me back. Any help from > anyone out there will help, I am scheduled to take the MTX with my > dinner tonight. Does taking them together really mess up the purpose > of the MTX? Yikes!! Thanks for any help, Peggy > > > > > > --------------------------------- > > New Messenger with Voice. Call regular phones from your PC > and save big. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2006 Report Share Posted April 26, 2006 Kathie, just do what your physician told you to do. This is a controversial issue. Even how much folic acid to take isn't agreed upon (but it's usually from 1 mg to 5 mg daily). The physicians and researchers who advise patients NOT to take folic acid on the same day that they take MTX are worried that the folic acid will interfere with the effectiveness of the MTX. In the other camp, there are those physicians and researchers who don't believe folic acid will significantly interfere with the action of MTX. The problem is that we don't know exactly how MTX works in RA. Lots of clues, but no definite answer yet. From what I've read, the position that patients on MTX should take folic acid every day has the edge. Not an MD I'll tell you where to go! Mayo Clinic in Rochester http://www.mayoclinic.org/rochester s Hopkins Medicine http://www.hopkinsmedicine.org [ ] folic acid/MTX >> > >> > >> > Hi all, >> > After reading some of the postings over the past few days, I > am >> wondering if I missed something vital. Are you not supposed to take >> folic acid on the days you take MTX? I have been. I tried to call > the >> dr yesterday, still waiting for him to call me back. Any help from >> anyone out there will help, I am scheduled to take the MTX with my >> dinner tonight. Does taking them together really mess up the > purpose >> of the MTX? Yikes!! Thanks for any help, Peggy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2006 Report Share Posted April 26, 2006 From what I've read lately, it's a guessing game as to what to take and what not to take. Physician preferences are a toss-up, too. I think I like my situation, I can pretty much dictate my own med schedule and the Rheumy goes along with me as long as I can explain my reasoning. Take what you can/want to and if the doc complains, change it to what you and the doc can agree on. It's a heck of a way to run a railroad! Dennis Re: [ ] Re: folic acid/MTX > hello, i'm taking folic everyday w/prednisone and mtx once a wk. now i'm > beginning to wonder. why wouldn't taking it with mtx be o.k.? does anyone > know? thak-you kathie > > bonniebaron <bonniebaron@...> wrote: i'm sorry, i think he did but > at that point i was so overwhelmed, i > don't remember. when i go for my refills i'll try to remember to ask > and actually retain that memory till i get back online again ! ! ! > > hugs, bon/boys > > >> actually my pharmacist also agreed that folic acid and/or my > vitamin >> b complex should *not* be taken on the same day as the mtx. >> >> bon/boys >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2006 Report Share Posted April 27, 2006 As some additional information on the discussion, I recently changed docs. The original doc recommended NOT taking the folic acid on the day I take the mtx, and the new doc DOES recommend taking it. My dosage was recently increased by the new doc to 20 mgs. mtx. and I feel great! I think the folic acid helps. Hope everyone has a comfortable day. Betsy in Houston > >> actually my pharmacist also agreed that folic acid and/or my > > vitamin > >> b complex should *not* be taken on the same day as the mtx. > >> > >> bon/boys > >> > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2006 Report Share Posted April 28, 2006 From what I have read here and elsewhere, and from talking to both my rheumatologist and the pharmacist, this is my take on the issue. Folic acid and folinic acid (Leucovorin) both reduce the effectiveness of Mtx somewhat. HOWEVER, they are also very good at reducing the side effects. If you can tolerate the Mtx without taking large amounts of folic or folinic acid, particularly on the day you take the mtx, the mtx has a better chance of being effective. But if the side effects are bad enough that they are likely to lead to you choosing to discontinue the mtx, it's still better to take the mtx and leucovorin on the same day than to stop taking the mtx altogether. In my case, I just get too sick form the mtx to be able to tolerate it without the leucovorin... even with it, it's really hard to wait the 12 hours my doc suggests before taking the leucovorin. > >> actually my pharmacist also agreed that folic acid and/or my > > vitamin > >> b complex should *not* be taken on the same day as the mtx. > >> > >> bon/boys > >> > Quote Link to comment Share on other sites More sharing options...
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