Guest guest Posted July 8, 2009 Report Share Posted July 8, 2009 , Thanks for article on methotrexate. I am long term user of it. I had been concerned that it may have caused or contributed to the pleural effusion I had last year even tho Rheumy didn't think so. Reading this article makes me feel better about taking it. I am going to do more research on site later, there seemed to be a problem with the search feature tonight. Thanks for all your efforts in keeping us informed. > > Long-Term Methotrexate Monotherapy for Rheumatoid Arthritis Appears Safe > > > NEW YORK (Reuters Health) Jul 03 - In adults with rheumatoid arthritis > (RA), long term methotrexate (MTX) therapy is associated with > " favorable " safety, according to a meta-analysis in the July issue of > the ls of Rheumatic Diseases. > > Dr. C. Salliot of Hopital Cochin in Paris, France and Dr. D. van der > Heijde of Leiden University Medical Center in The Netherlands reviewed > 88 studies of patients with RA treated with MTX monotherapy for at > least two years. The researchers note that no randomized controlled > trials met the duration criterion. > > " Over 12 years of treatment, the termination rate of MTX due to > toxicity was less than for sulfasalazine, gold, and D-penicillamine > but higher than for hydrochloroquine, " the researchers report. > Thirteen percent of patients had significant liver enzyme elevations, > and 3.7% discontinued MTX for hepatotoxicity. > > > *********************************** > Read the full article here: > > http://www.medscape.com/viewarticle/705337 > > > > Not an MD > Quote Link to comment Share on other sites More sharing options...
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