Re: INFO - How to minimize the side effects of methotrexate

[Guest guest]

hi gina my rheummy & pcp both told me not to take the folic acid & mtx together

becuz it could have severe effects on my ra.so on the days i take my mtx i dont

take my folic acid,could they b possibly WRONG? SCARRY THOUGHT<melynda

gamez>wrote:

<Rheumatoid.Arthritis.Support@...> wrote:

Methotrexate information sheet

Andy , MD FRCPC

Last updated 18 May 2005

Excerpt:

How can I help to minimize the side-effects of Methotrexate?

Take your methotrexate ONCE A WEEK as prescribed by your doctor.

Tablets can be split up and taken at two times over a 24 hour period

(i.e. take them with breakfast and dinner).

Taking your methotrexate before you go to bed can sometimes help as

you may sleep through any nausea or general unwellness.

Taking folic acid may help to reduce the side effects of the methotrexate.

Some patients find switching from pills to injections helps to reduce

side effects.

http://www.rheuminfo.com/rheum_info/med_info/METHOTREXATE_INFORMATION_SHEET.HTM

--

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[Guest guest]

Man I would like to know that also, cause I was told to take them at the

same time, I also take the injection though, maybe there is a difference??????

In a message dated 3/9/2008 1:36:03 A.M. Central Daylight Time,

mapgamez@... writes:

hi gina my rheummy & pcp both told me not to take the folic acid & mtx together

becuz it could have severe effects on my ra.so on the days i take my mtx i

dont take my folic acid,could they b possibly WRONG? SCARRY THOUGHT<melynda

gamez>wrote:

<_Rheumatoid.ArthritiRheumatoidRheumatoi_

(mailto:Rheumatoid.Arthritis.Support@...) > wrote: Methotrexate

information sheet

Andy , MD FRCPC

Last updated 18 May 2005

Excerpt:

How can I help to minimize the side-effects of Methotrexate?

Take your methotrexate ONCE A WEEK as prescribed by your doctor.

Tablets can be split up and taken at two times over a 24 hour period

(i.e. take them with breakfast and dinner).

Taking your methotrexate before you go to bed can sometimes help as

you may sleep through any nausea or general unwellness.

Taking folic acid may help to reduce the side effects of the methotrexate.

Some patients find switching from pills to injections helps to reduce

side effects.

_http://www.rheuminfhttp://www.rhttp://wwhttp://www.rheumhttp://www.rhehttp://

ww_

(http://www.rheuminfo.com/rheum_info/med_info/METHOTREXATE_INFORMATION_SHEET.HTM\

)

--

Not an MD

---------------------------------

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[Guest guest]

No your not wrong. My rheumatologist told me the same thing dont take the

folic acid the day i take

the methatrexate.

Jolene

In a message dated 3/9/2008 2:36:08 A.M. Eastern Daylight Time,

mapgamez@... writes:

hi gina my rheummy & pcp both told me not to take the folic acid & mtx together

becuz it could have severe effects on my ra.so on the days i take my mtx i

dont take my folic acid,could they b possibly WRONG? SCARRY THOUGHT<melynda

gamez>wrote:

<_Rheumatoid.ArthritiRheumatoidRheumatoi_

(mailto:Rheumatoid.Arthritis.Support@...) > wrote: Methotrexate

information sheet

Andy , MD FRCPC

Last updated 18 May 2005

Excerpt:

How can I help to minimize the side-effects of Methotrexate?

Take your methotrexate ONCE A WEEK as prescribed by your doctor.

Tablets can be split up and taken at two times over a 24 hour period

(i.e. take them with breakfast and dinner).

Taking your methotrexate before you go to bed can sometimes help as

you may sleep through any nausea or general unwellness.

Taking folic acid may help to reduce the side effects of the methotrexate.

Some patients find switching from pills to injections helps to reduce

side effects.

_http://www.rheuminfhttp://www.rhttp://wwhttp://www.rheumhttp://www.rhehttp://

ww_

(http://www.rheuminfo.com/rheum_info/med_info/METHOTREXATE_INFORMATION_SHEET.HTM\

)

--

Not an MD

---------------------------------

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[Non-text portions of this message have been removed]

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[Guest guest]

Melynda,

It's not that anything terrible will happen if you take methotrexate and

folic acid on the same day.

Some researchers and rheumatologists believe that folic acid may reduce the

effectiveness of MTX, so they advise skipping the folic acid on the day you

take the MTX. Others advise taking the folic acid every day because they

believe the impact on MTX's effectiveness is negligible.

Not an MD

> Re: [ ] INFO - How to minimize the side effects of

methotrexate

>

> hi gina my rheummy & pcp both told me not to take the folic acid & mtx

together becuz

> it could have severe effects on my ra.so on the days i take my mtx i dont

take my

> folic acid,could they b possibly WRONG? SCARRY THOUGHT<melynda

gamez>wrote:

>

> <Rheumatoid.Arthritis.Support@...> wrote:

Methotrexate

> information sheet

> Andy , MD FRCPC

> Last updated 18 May 2005

>

> Excerpt:

>

> How can I help to minimize the side-effects of Methotrexate?

>

> Take your methotrexate ONCE A WEEK as prescribed by your doctor.

>

> Tablets can be split up and taken at two times over a 24 hour period

> (i.e. take them with breakfast and dinner).

>

> Taking your methotrexate before you go to bed can sometimes help as

> you may sleep through any nausea or general unwellness.

>

> Taking folic acid may help to reduce the side effects of the methotrexate.

>

> Some patients find switching from pills to injections helps to reduce

> side effects.

>

> http://www.rheuminfo.com/rheum_info/med_info/METHOTREXATE_INFORMATION_S

> HEET.HTM

[Guest guest]

I don't think your rheummy is necessarily wrong but each doc can vary in his

treatment plan for his patients.

Most of us are taking at least 1mg folic acid a day. Some of who are very

folic acid depleted and are having serious side effect issues are taking up to

5mg per day plus leukovorin to help lessen the side effects.

I would discuss this matter with your doctor. If you are not having any side

effects then great. There is probably no need to change anything. But if you

are having side effects then you may want to discuss a change in plan to

lessen those side effects.

ALL the rheummy's I have seen( I have seen plenty...and most were NOT good

ones...and I have seen a few good ones) recommend folic acid to be taken

EVERY day while on MTX. They also recommend a good multi-vitamin as well.

Keep in mind that each one of us has different lifestyles and tolerance

levels for pain and side effects. So that is why the treatment plan can vary

from

one person to another.

Toni

_Re: INFO - How to minimize the side effects of methotrexate _

( /message/110371;_ylc=X3oDMTJyMzkyZmI1BF\

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1BGdycElkAzEwMTQ3OARncnBzcElkAzE3MDUwNjE0OTgEbXNnSWQDMTEwMzcxBHNlYwNkbXNnBHNsa

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Posted by: " Pedro Gamez " _mapgamez@... _

(mailto:mapgamez@...?Subject=

Re:%20INFO%20-%20How%20to%20minimize%20the%20side%20effects%20of%20methotrexate)

_mapgamez _ (mapgamez)

Sat Mar 8, 2008 10:35 pm (PST)

hi gina my rheummy & pcp both told me not to take the folic acid & mtx together

becuz it could have severe effects on my ra.so on the days i take my mtx i

dont take my folic acid,could they b possibly WRONG? SCARRY THOUGHT<melynda

gamez>wrote:

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[Guest guest]

THANK YOU,JOLENE! i have been reading alot of the messages & they all say the same

thing. so im HAPPY to know im not the only one to take mtx like that..your

response is soo appreciated!! melyndagamez>wrote:2:45 central time.

Jolenefive@... wrote: No your not wrong. My rheumatologist told me

the same thing dont take the

folic acid the day i take

the methatrexate.

Jolene

In a message dated 3/9/2008 2:36:08 A.M. Eastern Daylight Time,

mapgamez@... writes:

hi gina my rheummy & pcp both told me not to take the folic acid & mtx together

becuz it could have severe effects on my ra.so on the days i take my mtx i

dont take my folic acid,could they b possibly WRONG? SCARRY THOUGHT<melynda

gamez>wrote:

<_Rheumatoid.ArthritiRheumatoidRheumatoi_

(mailto:Rheumatoid.Arthritis.Support@...) > wrote: Methotrexate

information sheet

Andy , MD FRCPC

Last updated 18 May 2005

Excerpt:

How can I help to minimize the side-effects of Methotrexate?

Take your methotrexate ONCE A WEEK as prescribed by your doctor.

Tablets can be split up and taken at two times over a 24 hour period

(i.e. take them with breakfast and dinner).

Taking your methotrexate before you go to bed can sometimes help as

you may sleep through any nausea or general unwellness.

Taking folic acid may help to reduce the side effects of the methotrexate.

Some patients find switching from pills to injections helps to reduce

side effects.

_http://www.rheuminfhttp://www.rhttp://wwhttp://www.rheumhttp://www.rhehttp://

ww_

(http://www.rheuminfo.com/rheum_info/med_info/METHOTREXATE_INFORMATION_SHEET.HTM\

)

--

Not an MD

---------------------------------

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