Guest guest Posted March 25, 2004 Report Share Posted March 25, 2004 Do you mean you ONLY take the FA once a week? I was told to take it daily. - -- In , " kazflowers " <kaz.flowers@n...> wrote: > Hi, > > I realise I'm a little late on this one but.... > > I originally took them on the same day as I hadn't been told any > different. Quite by chance it came up in conversation with my > consultant and he told me to take it at least 2 days before the MTX > because that way it would be in the same system and doing some good > before the MTX went in. i'm sure he said taking it on the same day > lowered the effectiveness of the FA and therefore was no point in > taking it. > > Hope it helps. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2004 Report Share Posted March 26, 2004 I am on methatrexate 40 mg every Friday night (just took it). And I take 5mg of Folic acid everyday except Friday. Rheumatologist never mentioned it but after a year on MTX my Pharmacist asked if I was taking folic acid as well and nearly had a fit when I said " What's that ? " From the discussion here, am I right in thinking that the MTX would be more effective if I cut down the amount of folic acid I am taking ???? Maybe I would have to take as much MTX. Greg. [ ] Re: Folic Acid and MTX > Do you mean you ONLY take the FA once a week? I was told to take it > daily. - > -- In , " kazflowers " > <kaz.flowers@n...> wrote: > > Hi, > > > > I realise I'm a little late on this one but.... > > > > I originally took them on the same day as I hadn't been told any > > different. Quite by chance it came up in conversation with my > > consultant and he told me to take it at least 2 days before the MTX > > because that way it would be in the same system and doing some good > > before the MTX went in. i'm sure he said taking it on the same day > > lowered the effectiveness of the FA and therefore was no point in > > taking it. > > > > Hope it helps. > > > > > > > > > > Please visit our Psoriatic Arthritis Group's informational web page at: > http://www.wpunj.edu/pa/ -- created and edited by list member aka(raharris@...). > > Also,in August 2001,list member Jack aka Cornishpro@... began to conduct extensive research which he publishes as the " Psoriatic Arthritis Research Newsletter " , monthly in our email and digest format. Many thanks to Jack. Back issues of the newsletter are stored on our PA webpage as well as the archives of the list. > > Don't forget that the list archives comprise a tremendous amount of information (Over three years of messages and answers).Feel free to browse them at your convenience. > > LET'S HEAR FROM SOME OF YOU LURKERS out there! If you have a comment or question, chances are there is a person who has been around a while who can help you out with AT LEAST an educated guess for an answer! If not,we can steer you in the right direction with a good website to go to, > > Blessings and Peace, > > Atwood-Stack, Founder > Alan , Web & List Editor > Jack , Newsletter Editor > Pat Bias, List Editor > Ron Dotson, List Editor > Orin, List Editor > , List Editor > and any others who help in any way (thank you!) > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2004 Report Share Posted March 26, 2004 Hi, I take 15mg of MTX and 5mg of folic acid. I have been taking theses meds for 2 years and have always been told to take the folic acid once a week at least 2 days before the MTX. > > Hi, > > > > I realise I'm a little late on this one but.... > > > > I originally took them on the same day as I hadn't been told any > > different. Quite by chance it came up in conversation with my > > consultant and he told me to take it at least 2 days before the MTX > > because that way it would be in the same system and doing some good > > before the MTX went in. i'm sure he said taking it on the same day > > lowered the effectiveness of the FA and therefore was no point in > > taking it. > > > > Hope it helps. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2004 Report Share Posted March 26, 2004 Hi all, I was told to take 15mg of Folic Acid three days after the MTX. Have any two of us been told the same??? Cheers, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2004 Report Share Posted March 26, 2004 Greg, I'm not exactly sure if the MTX would be more effective if you lessened your folic acid. I'm thinking that if you combine your MTX with something else, like cyclosporine, then it would work more efficiently. I know that MTX never worked as well as it needed to when I took it alone, only when I used it in combination with something else. Axelrod Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 27, 2004 Report Share Posted March 27, 2004 Hi there. I take 5 mg of folic acid every day. I used to be on methotrex, however I had horrible reactions so was switched to Avara about 2 years ago. I was told the folic acid helps with the hair loss due to methotrex or Arava so I continue with the folic acid and doc seems to think it's OK at that level. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 27, 2004 Report Share Posted March 27, 2004 Hi and Greg and anyone else with ?s about the Folic Acid. I don't know anything about the doseage amts, but I talked to a Pharmacist today who told me the reason it is suggested to take with MTX is because of it's ability to counteract some of the possible side effects of the MTX specifically related to the regeneration of red blood cells. He says since MTX is an immunosuppressive drug, you need the MTX to help keep things re the red blood cells under control. The concept of not taking on the day of the MTX is to allow the MTX to get into your system well. Don't know how much this does or does not help, but thought I would pass along what I learned! annie and the pug herd Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2004 Report Share Posted March 28, 2004 sorry everyone..a little typo...you need the FOLIC Acid to help keep your red blood cells under control while taking MTX. I mistakenly said you need the Mtx in my initial posting!! sorry...brain fade!! what can I say? There are many other rationals for the Folic Acid I suppose, the red blood cell regeneration is the one my Pharmacist focused on! thanks annie and the pug herd Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2004 Report Share Posted June 26, 2004 Hi , Differant docs do differant things but has always taken folic acid 7 days a week.Sorry to hear n is getting sick to her stomache from the MTX.We give s right before bed so he sleeps through anything he might feel.I hope the split dosing helps. Hugs Becki and 5 systemic Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 27, 2004 Report Share Posted June 27, 2004 There has never been sound science behind the recommendation to skip the folic acid on the day the methotrexate is given. Folic acid is not removed from the body fast enough for that to make any difference in normal rheumatic disease therapy. J. A. Lehman MD Chief, Division of Pediatric Rheumatology Hospital for Special Surgery, and Professor of Clinical Pediatrics Weill Cornell Medical Center New York, NY 10021 Email goldscout@... phone 212-606-1151 fax 212-606-1938 giving the best care with great careavailable at _www.goldscout.com_ (http://www.goldscout.com/) or your local book seller see _www.goldscout.com/toc.html_ (http://www.goldscout.com/toc.html) for details Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 27, 2004 Report Share Posted June 27, 2004 Abbie has always gotten folic acid every day. However about a year ago, her nausea was so bad that the rheumy changed her to leucovorin (folinic acid) the day of and the day after injection. I have never heard a good reason why folic acid not be give the day of mtx dose. Christy (Abbie, 14 systemic) folic acid and mtx > I have a question for the group. n is going to split dosing of mtx because she is having problems with nausea. I know that I don't give her the folic acid the day of the injection, but if I give her the injection now twice a week-then do I skip two doses of folic acid a week? Thanks, (n,15,systemic) > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 27, 2004 Report Share Posted June 27, 2004 Thank you for all of your responses. I will give her the folic acid 7 days a week. Last night's shot went well, and she is fine today. Much better experience than last week. (n, 15, systemic) Re: folic acid and mtx There has never been sound science behind the recommendation to skip the folic acid on the day the methotrexate is given. Folic acid is not removed from the body fast enough for that to make any difference in normal rheumatic disease therapy. J. A. Lehman MD Chief, Division of Pediatric Rheumatology Hospital for Special Surgery, and Professor of Clinical Pediatrics Weill Cornell Medical Center New York, NY 10021 Email goldscout@... phone 212-606-1151 fax 212-606-1938 giving the best care with great careavailable at _www.goldscout.com_ (http://www.goldscout.com/) or your local book seller see _www.goldscout.com/toc.html_ (http://www.goldscout.com/toc.html) for details Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2008 Report Share Posted February 28, 2008 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? Quote Link to comment Share on other sites More sharing options...
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