Guest guest Posted August 6, 2004 Report Share Posted August 6, 2004 I think it's up to the patient to tell the doctor about any changes in their health rather than the doctor asking leading questions. If the doctor asks about a symptom there are some people that will say they have that problem even if they were not aware of it before. On the other hand, the patient is not likely to bring up anything that is not real. God bless. ----- Original Message ----- From: snowdrift52003 Rheumatoid Arthritis Sent: Thursday, August 05, 2004 8:28 PM Subject: MTX follow-up For those of you on MTX--what kinds of questions does your rheumy ask and what does she/he do in examination that are specific to that med?I wondered today if my rhemuy should be asking me about a cough or listening to my lungs...?Just upped my dose to 15 mg tonight. I'm hoping my luck with no nausea holds...Sierra Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2004 Report Share Posted August 6, 2004 Hi Sierra, I have wondered the same thing myself .... Lynne Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2004 Report Share Posted August 6, 2004 My rheumy always asks if I have a cough - really it is a continuous dry cough that would be a bad sign. He has only once listened to my breathing. I think the major thing is having your blood tests regularly. I read on a doctor site a bit of discussion about taking folic acid the day before the MTX vs the day after. They generally agree that the folic acid makes the MTX better tolerated but no studies have been done on timing. So I have been taking 1 extra folic the day before and the day after and felt better this week (just began) annette > For those of you on MTX--what kinds of questions does your rheumy ask > and what does she/he do in examination that are specific to that med? > I wondered today if my rhemuy should be asking me about a cough or > listening to my lungs...? > > Just upped my dose to 15 mg tonight. I'm hoping my luck with no > nausea holds... > > Sierra Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2004 Report Share Posted August 6, 2004 Ohh...that makes sense. Thank you, Harold. S > I think it's up to the patient to tell the doctor about any changes in their health rather than the doctor asking leading questions. If the doctor asks about a symptom there are some people that will say they have that problem even if they were not aware of it before. On the other hand, the patient is not likely to bring up anything that is not real. God bless. > ----- Original Message ----- > From: snowdrift52003 > Rheumatoid Arthritis > Sent: Thursday, August 05, 2004 8:28 PM > Subject: MTX follow-up > > > For those of you on MTX--what kinds of questions does your rheumy ask > and what does she/he do in examination that are specific to that med? > I wondered today if my rhemuy should be asking me about a cough or > listening to my lungs...? > > Just upped my dose to 15 mg tonight. I'm hoping my luck with no > nausea holds... > > Sierra > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2004 Report Share Posted August 6, 2004 > So I have been taking 1 extra folic the day before and the day after > and felt better this week (just began) > annette Would that be 2 mg. the day before and the day after? How about the day of? S Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2004 Report Share Posted August 6, 2004 I had been taking 2mg (I think) per day for several months. My new rheumy has cut it down to 1 but he's upped my MTX from 10mg per week (was on 20mg for several months than was cut to 10mg) to Methotrexate Lpp Inj/via 25MG/ML. (sorry I don't know how that would translate to pill dosage). Ray R--- In Rheumatoid Arthritis , " Lynne " <Lynne@A...> wrote: > Hi Annette, > My rheumy advised me to take my folic adic 2 days before the methotrexate, something about the timing he said . > What about the rest of you ? > > Lynne Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2004 Report Share Posted August 6, 2004 --- In Rheumatoid Arthritis , " Lynne " <Lynne@A...> wrote: > Hi Annette, > My rheumy advised me to take my folic adic 2 days before the methotrexate, something about the timing he said . > What about the rest of you ? > > Lynne I take 1 mg. a day--every day. S Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2004 Report Share Posted August 6, 2004 My old rheumy (;'( , always asked if I had a rash while he was looking for one. Then he would listen to my lungs and heart. He said my heart and lungs sounded great(?). (been a smoker for 30+ years) Other than that he would just ask how I was. Ray > For those of you on MTX--what kinds of questions does your rheumy ask > and what does she/he do in examination that are specific to that med? > I wondered today if my rhemuy should be asking me about a cough or > listening to my lungs...? > > Just upped my dose to 15 mg tonight. I'm hoping my luck with no > nausea holds... > > Sierra Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2004 Report Share Posted August 6, 2004 > Hi. > My rhuemy's main thing is having me do bloodwork before I come in for my visits. That way he can keep an eye on my liver to make sure that that's not getting screwed up with all of the mtx that I'm on. He also asks if I have any concerns or if I am experiencing any side effects to the drug. > How much are you on and how's it been going for you? S Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2004 Report Share Posted August 7, 2004 He also has me taking 1600 mg of folic acid daily That's got to be mcg and not mg, right? S Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2004 Report Share Posted August 7, 2004 However I " ve been reading these posts about mtx and not taking the folic acid on the days that you take the mtx. That was news to me. > The docs have differing opinions on that one. My doc teaches at a university, so I consider her up on the latest...she has me taking folic acid every day. S Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 29, 2004 Report Share Posted August 29, 2004 I know lots more has been posted, and I'll continue reading, but wanted to ask about folic acid: I take it every day, and I take 4 tabs (4mg; 2 in the morning and 2 at night). I take the methotrex. once weekly, and that's 20 mg I believe (8 tabs). I was taking only 2mg folic acid per day, but developed sores on my tongue and cheeks and the Dr. told me to up it. So far, so good. Does that sound like a lot to you all? That is also a question she always asked me, whether I'd had any mouth sores or not, as they can be a side-effect of the meth. I guess. I was glad she always asked, because when I got them I then knew they weren't just canker sores. Rie > My rheumy always asks if I have a cough - really it is a continuous > dry cough that would be a bad sign. He has only once listened to my > breathing. I think the major thing is having your blood tests > regularly. > I read on a doctor site a bit of discussion about taking folic acid > the day before the MTX vs the day after. Quote Link to comment Share on other sites More sharing options...
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