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Joy,

my rheummy told me that it's because the MTX kills all the fast growing cells in

your body, and the fastest growing cells are in the mouth. The folic acid

should take care of these ulcers though. Happy New Year

Pennie in Australia

[ ] mouth sores

Why does MTX cause mouth sores?

Joy

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American College of Rheumatology

Patient Information

Methotrexate

excerpt:

**************************************************************************

How it works

Methotrexate interferes with several enzymes involved in the immune

system. By blocking an enzyme in the body called dihydrofolate

reductase, methotrexate hinders the production of a form of folic acid

important for actively growing cells such as those comprising the

skin, blood, gastrointestinal tissues and immune system. However, it

is not entirely clear how methotrexate decreases the severity of

arthritis.

http://www.rheumatology.org/public/factsheets/methotrexate.asp

***************************************************************************

Not an MD

On Dec 27, 2007 2:39 PM, Joy <jhoorm01@...> wrote:

> Why does MTX cause mouth sores?

> Joy

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I get the mouth sores too and I am on the MTX and folic acid as well. I find

eating ice chips helps a lot! Not only does it help keep your mouth moist which

can be so difficult for us, but it seems to make the sores heal quicker. Good

luck.

Tracie

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

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I don't know if the rheumatologist can prescribe it but wouldn't hurt

to ask...When I was going through chemo my Oncologist Rx-ed something

called " Magic Mouthwash #2 for mouth sores. It's a conbination of

different things, Maylox and benzodine (?) numbing stuff anyways. It

works really well.

Val

--- In , Tracie Bragdon <tracierae143@...>

wrote:

>

> I get the mouth sores too and I am on the MTX and folic acid as

well. I find eating ice chips helps a lot! Not only does it help

keep your mouth moist which can be so difficult for us, but it seems

to make the sores heal quicker. Good luck.

>

> Tracie

>

>

> ---------------------------------

> Looking for last minute shopping deals? Find them fast with

Search.

>

>

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Correction on the Magic Mouthwash#2 the ingredients are:

Mylanta®, Benedryl, Carafate (antacid, antihistamine, anesthetic)

Sorry for the mix-up

Val

--- In , Tracie Bragdon <tracierae143@...>

wrote:

>

> I get the mouth sores too and I am on the MTX and folic acid as

well. I find eating ice chips helps a lot! Not only does it help

keep your mouth moist which can be so difficult for us, but it seems

to make the sores heal quicker. Good luck.

>

> Tracie

>

>

> ---------------------------------

> Looking for last minute shopping deals? Find them fast with

Search.

>

>

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Dear Tracie:

Eating ice chips can also be a sign of anemia. Very common among

pregnant women. Folic acid is supposed to help with this, but you

may want to check with your doctor.

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Thanks,

Yes I am very anemic. It runs with my RA. The worse my RA, the worse my

anemia. It goes up and down. At times I really crave the ice chips, but they

are not fattening and help my mouth so no harm done. Thanks again.

Tracie

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

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I have anemia and crave them too Tracie. They did help a bit with the mouth

sores.

Of course I get them in hard to reach areas...lol

Joy

Tracie Bragdon <tracierae143@...> wrote:

Thanks,

Yes I am very anemic. It runs with my RA. The worse my RA, the worse my anemia.

It goes up and down. At times I really crave the ice chips, but they are not

fattening and help my mouth so no harm done. Thanks again.

Tracie

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

Never miss a thing. Make your homepage.

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I get Thrush (candida) from the MTX and am using a medication called

Nystatin 100000. It works great! I think the MTX overkills the good

bacteria in the mouth which causes the thrush and this replaces it.

I also use Dannon Activa which has helped tremendously.

I've been on the MTX for about 3 months now. Lab tests are normal so

far. I go to Rumy doc today. Other than thrush, I have been

getting " spells " where I begin to perspire profusely; my face gets

flushed, and then feel anxious and nauseous. I haven't had this

before and think it is also from the Methotrexate.

I have RA and Fibro, along with asthma, migraine headaches and spine

problems (degenerative disk disease with ruptured disks in both

cervical and lumbar spine)....and spondylolysthesis (vertebrae are

out of alignment in addition to the ruptured disks.

Basically my body is a mess! I used the Duragesic patch (Fentynol)

every 48 hours for pain and have percocet for any " break through "

pain.

I have to say that for 2 days, after Christmas, I felt GREAT! It was

the very first time to feel good in a very long time...about 15

years!

I'll keep you informed as to what the rhumy says!

Hugs,

judy

> >

> > I get the mouth sores too and I am on the MTX and folic acid as

> well. I find eating ice chips helps a lot! Not only does it help

> keep your mouth moist which can be so difficult for us, but it

seems

> to make the sores heal quicker. Good luck.

> >

> > Tracie

> >

> >

> > ---------------------------------

> > Looking for last minute shopping deals? Find them fast with

> Search.

> >

> >

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  • 2 months later...
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My dr prescribed a paste for my sores...call triamcinolone 0.1% paste...just

apply to the sore and it is gone the next day!

See if he will presribe for you. I put it on at bedtime and works wonders..

paula

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