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Dawn has been particularly adament that I not take Vioxx while I am on

methotrexate. I sat down with my pharmacist yesterday and asked him if he

knew why. He printed out all the warnings that come in the prescription plus

the package insert on both products. Neither has a warning against it. I am

very confused. Before I ask my rheumy again (he said there was no problem),

can anyone tell me what the problem is? I know you all do better research

than the doctors or pharmacists, so can anyone provide me with a reason why I

should not take these two products together? I'm certain Dawn knows what she

is talking about, but I need more info and facts before I question my doctor

again. Please help! Love, Judy

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Dawn has been particularly adament that I not take Vioxx while I am on

methotrexate. I sat down with my pharmacist yesterday and asked him if he

knew why. He printed out all the warnings that come in the prescription plus

the package insert on both products. Neither has a warning against it. I am

very confused. Before I ask my rheumy again (he said there was no problem),

can anyone tell me what the problem is? I know you all do better research

than the doctors or pharmacists, so can anyone provide me with a reason why I

should not take these two products together? I'm certain Dawn knows what she

is talking about, but I need more info and facts before I question my doctor

again. Please help! Love, Judy

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--- JOstry93@... wrote:

> Dawn has been particularly adament that I not take

> Vioxx while I am on

> methotrexate. I sat down with my pharmacist

> yesterday and asked him if he

> knew why. He printed out all the warnings that come

> in the prescription plus

> the package insert on both products. Neither has a

> warning against it. I am

> very confused. Before I ask my rheumy again (he

> said there was no problem),

> can anyone tell me what the problem is? I know you

> all do better research

> than the doctors or pharmacists, so can anyone

> provide me with a reason why I

> should not take these two products together? I'm

> certain Dawn knows what she

> is talking about, but I need more info and facts

> before I question my doctor

> again. Please help! Love, Judy

>

Hi Judy,

I just checked this out on my favorite site for

researching drugs. Please go to RXlist.com and type

in Methotrexate. Go to drug interactions and read

that section. Hope this helps answer your questions.

Good luck, Sharon

=====

__________________________________________________

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--- JOstry93@... wrote:

> Dawn has been particularly adament that I not take

> Vioxx while I am on

> methotrexate. I sat down with my pharmacist

> yesterday and asked him if he

> knew why. He printed out all the warnings that come

> in the prescription plus

> the package insert on both products. Neither has a

> warning against it. I am

> very confused. Before I ask my rheumy again (he

> said there was no problem),

> can anyone tell me what the problem is? I know you

> all do better research

> than the doctors or pharmacists, so can anyone

> provide me with a reason why I

> should not take these two products together? I'm

> certain Dawn knows what she

> is talking about, but I need more info and facts

> before I question my doctor

> again. Please help! Love, Judy

>

Hi Judy,

I just checked this out on my favorite site for

researching drugs. Please go to RXlist.com and type

in Methotrexate. Go to drug interactions and read

that section. Hope this helps answer your questions.

Good luck, Sharon

=====

__________________________________________________

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In a message dated 9/23/01 2:25:43 PM Pacific Daylight Time, JOstry93@...

writes:

<< Before I ask my rheumy again (he said there was no problem),

can anyone tell me what the problem is? >>

Judy, both of my old rheumys told me no... Here is what I found in my book

called " The Pill Book " on metho.

I does say that asprin and other NSAIDS may be continued if you are on a low

doseage of metho. (Think they consider low dosage for RA under 20mg)

BUT this is what it says under Drug Interactions:

" Fatal reactions have developed in people taking metho with a NSAID. Do not

combien methotrexate and an anti inflammatory or antiarthritic drug...even

over the counter drugs such as ibuprofen or naproxen..without doctor's

knowledge.

Asprin and other salicylates, anticancer drugs, etretinate, procarbazine,

probenecid, and sulfa drugs can increase the therapeutic and toxic effects of

methotrexate.

Well, that is my 2 cents..LOL Just thought I'd let you know what the book

says... My choice was to stay away from the two together.

hugs

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In a message dated 9/23/01 2:25:43 PM Pacific Daylight Time, JOstry93@...

writes:

<< Before I ask my rheumy again (he said there was no problem),

can anyone tell me what the problem is? >>

Judy, both of my old rheumys told me no... Here is what I found in my book

called " The Pill Book " on metho.

I does say that asprin and other NSAIDS may be continued if you are on a low

doseage of metho. (Think they consider low dosage for RA under 20mg)

BUT this is what it says under Drug Interactions:

" Fatal reactions have developed in people taking metho with a NSAID. Do not

combien methotrexate and an anti inflammatory or antiarthritic drug...even

over the counter drugs such as ibuprofen or naproxen..without doctor's

knowledge.

Asprin and other salicylates, anticancer drugs, etretinate, procarbazine,

probenecid, and sulfa drugs can increase the therapeutic and toxic effects of

methotrexate.

Well, that is my 2 cents..LOL Just thought I'd let you know what the book

says... My choice was to stay away from the two together.

hugs

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Judy,

Vioxx is classified as a non-steroidal antiinflamatory drug. There is a

very CLEAR warning in my 2001 Nursing Drug Reference book that anyone on

Methotrexate MUST NOT take any NSAIDS because of the POTENTIAL FOR FATAL

INTERACTIONS!! If you look up the drug Vioxx, or any other NSAID, you will

not find this warning. You have to look up Methotrexate to find the

warning. Also, this is a warning that has just come out in print in the

past year or so-- so it is a fairly new warning. I am sure that after a

certain number of deaths, the researchers began piecing this together. I am

VERY surprised that the pharmacist could not find this in print-- he should

know this!! PLEASE, don't take these 2 drugs together!

Kathi

>

>Reply-To: Rpolychondritis

>To: Rpolychondritis

>Subject: Re: Vioxx

>Date: Sun, 23 Sep 2001 16:39:34 -0700 (PDT)

>

>

>--- JOstry93@... wrote:

> > Dawn has been particularly adament that I not take

> > Vioxx while I am on

> > methotrexate. I sat down with my pharmacist

> > yesterday and asked him if he

> > knew why. He printed out all the warnings that come

> > in the prescription plus

> > the package insert on both products. Neither has a

> > warning against it. I am

> > very confused. Before I ask my rheumy again (he

> > said there was no problem),

> > can anyone tell me what the problem is? I know you

> > all do better research

> > than the doctors or pharmacists, so can anyone

> > provide me with a reason why I

> > should not take these two products together? I'm

> > certain Dawn knows what she

> > is talking about, but I need more info and facts

> > before I question my doctor

> > again. Please help! Love, Judy

> >

>Hi Judy,

>

>I just checked this out on my favorite site for

>researching drugs. Please go to RXlist.com and type

>in Methotrexate. Go to drug interactions and read

>that section. Hope this helps answer your questions.

>Good luck, Sharon

>

>=====

>

>

>__________________________________________________

>

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Judy,

Vioxx is classified as a non-steroidal antiinflamatory drug. There is a

very CLEAR warning in my 2001 Nursing Drug Reference book that anyone on

Methotrexate MUST NOT take any NSAIDS because of the POTENTIAL FOR FATAL

INTERACTIONS!! If you look up the drug Vioxx, or any other NSAID, you will

not find this warning. You have to look up Methotrexate to find the

warning. Also, this is a warning that has just come out in print in the

past year or so-- so it is a fairly new warning. I am sure that after a

certain number of deaths, the researchers began piecing this together. I am

VERY surprised that the pharmacist could not find this in print-- he should

know this!! PLEASE, don't take these 2 drugs together!

Kathi

>

>Reply-To: Rpolychondritis

>To: Rpolychondritis

>Subject: Re: Vioxx

>Date: Sun, 23 Sep 2001 16:39:34 -0700 (PDT)

>

>

>--- JOstry93@... wrote:

> > Dawn has been particularly adament that I not take

> > Vioxx while I am on

> > methotrexate. I sat down with my pharmacist

> > yesterday and asked him if he

> > knew why. He printed out all the warnings that come

> > in the prescription plus

> > the package insert on both products. Neither has a

> > warning against it. I am

> > very confused. Before I ask my rheumy again (he

> > said there was no problem),

> > can anyone tell me what the problem is? I know you

> > all do better research

> > than the doctors or pharmacists, so can anyone

> > provide me with a reason why I

> > should not take these two products together? I'm

> > certain Dawn knows what she

> > is talking about, but I need more info and facts

> > before I question my doctor

> > again. Please help! Love, Judy

> >

>Hi Judy,

>

>I just checked this out on my favorite site for

>researching drugs. Please go to RXlist.com and type

>in Methotrexate. Go to drug interactions and read

>that section. Hope this helps answer your questions.

>Good luck, Sharon

>

>=====

>

>

>__________________________________________________

>

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In a message dated 09/23/2001 6:41:13 PM Central Daylight Time,

sisterslk@... writes:

<< Go to drug interactions and read

that section. Hope this helps answer your questions. >>

Sharon, I was able to pull up the info on the metho, but I couldn't see

anywhere to go for drug interactions. Can you give me " duh " instructions.

Thanks. Judy

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In a message dated 09/23/2001 6:41:13 PM Central Daylight Time,

sisterslk@... writes:

<< Go to drug interactions and read

that section. Hope this helps answer your questions. >>

Sharon, I was able to pull up the info on the metho, but I couldn't see

anywhere to go for drug interactions. Can you give me " duh " instructions.

Thanks. Judy

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In a message dated 09/23/2001 7:49:05 PM Central Daylight Time,

angelhearts61@... writes:

<< PLEASE, don't take these 2 drugs together! >>

Kathi, thank you so much! I have been trying to get this straightened out

for some time. My Rheumy says it's fine to take the Vioxx (which BTW, I

don't think works all that well). So I guess I will have to bring this in to

his office tomorrow. Is there any problems if I take Arthrotec in lieu of

the Vioxx. I'd try taking nothing, but then I will not be moving at all! In

fact, it's going to take an act of God to get me out of my chair today!

Thanks again! Love, Judy

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In a message dated 09/23/2001 7:49:05 PM Central Daylight Time,

angelhearts61@... writes:

<< PLEASE, don't take these 2 drugs together! >>

Kathi, thank you so much! I have been trying to get this straightened out

for some time. My Rheumy says it's fine to take the Vioxx (which BTW, I

don't think works all that well). So I guess I will have to bring this in to

his office tomorrow. Is there any problems if I take Arthrotec in lieu of

the Vioxx. I'd try taking nothing, but then I will not be moving at all! In

fact, it's going to take an act of God to get me out of my chair today!

Thanks again! Love, Judy

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In a message dated 09/23/2001 11:19:39 PM Central Daylight Time,

RCColloran@... writes:

<< Do not

combien methotrexate and an anti inflammatory or antiarthritic drug...even

over the counter drugs such as ibuprofen or naproxen..without doctor's

knowledge. >>

I think that will be my choice too. Altho' the rheumy says that it's ok. My

biggest concern is doing something to cause a

new stroke, and this is too scary. I will go to the doctor's office

tomorrow. One question, can I take Arthrotec? If not, what do I do for my

arthritis. Love, Judy

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In a message dated 09/23/2001 11:19:39 PM Central Daylight Time,

RCColloran@... writes:

<< Do not

combien methotrexate and an anti inflammatory or antiarthritic drug...even

over the counter drugs such as ibuprofen or naproxen..without doctor's

knowledge. >>

I think that will be my choice too. Altho' the rheumy says that it's ok. My

biggest concern is doing something to cause a

new stroke, and this is too scary. I will go to the doctor's office

tomorrow. One question, can I take Arthrotec? If not, what do I do for my

arthritis. Love, Judy

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In a message dated 9/24/01 3:13:46 PM Pacific Daylight Time, JOstry93@...

writes:

<< One question, can I take Arthrotec? >>

Judy, I don't know... I use to take that too and it is also a NSAIDs. I'd

check with someone.......but who is the question.LOL

hugs

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In a message dated 9/24/01 3:13:46 PM Pacific Daylight Time, JOstry93@...

writes:

<< One question, can I take Arthrotec? >>

Judy, I don't know... I use to take that too and it is also a NSAIDs. I'd

check with someone.......but who is the question.LOL

hugs

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Judy,

Arthrotec is also classified as a non-steroidal antiinflammatory drug! There

are so many new drugs out for arthritis right now that there should be

several for you to choose from. Ask your MD when you go--although it

concerns me that he/she thought it was ok to take Methotrexate and Vioxx.

Let me see if I can find out the names of some of the news one for you. I

will ask some of my patients which ones they like. I will let you know what

I find out.

Kathi

>From: JOstry93@...

>Reply-To: Rpolychondritis

>To: Rpolychondritis

>Subject: Re: Vioxx

>Date: Mon, 24 Sep 2001 17:15:28 EDT

>

>In a message dated 09/23/2001 7:49:05 PM Central Daylight Time,

>angelhearts61@... writes:

>

><< PLEASE, don't take these 2 drugs together! >>

>

>Kathi, thank you so much! I have been trying to get this straightened out

>for some time. My Rheumy says it's fine to take the Vioxx (which BTW, I

>don't think works all that well). So I guess I will have to bring this in

>to

>his office tomorrow. Is there any problems if I take Arthrotec in lieu of

>the Vioxx. I'd try taking nothing, but then I will not be moving at all!

>In

>fact, it's going to take an act of God to get me out of my chair today!

>Thanks again! Love, Judy

_________________________________________________________________

Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp

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Judy,

Arthrotec is also classified as a non-steroidal antiinflammatory drug! There

are so many new drugs out for arthritis right now that there should be

several for you to choose from. Ask your MD when you go--although it

concerns me that he/she thought it was ok to take Methotrexate and Vioxx.

Let me see if I can find out the names of some of the news one for you. I

will ask some of my patients which ones they like. I will let you know what

I find out.

Kathi

>From: JOstry93@...

>Reply-To: Rpolychondritis

>To: Rpolychondritis

>Subject: Re: Vioxx

>Date: Mon, 24 Sep 2001 17:15:28 EDT

>

>In a message dated 09/23/2001 7:49:05 PM Central Daylight Time,

>angelhearts61@... writes:

>

><< PLEASE, don't take these 2 drugs together! >>

>

>Kathi, thank you so much! I have been trying to get this straightened out

>for some time. My Rheumy says it's fine to take the Vioxx (which BTW, I

>don't think works all that well). So I guess I will have to bring this in

>to

>his office tomorrow. Is there any problems if I take Arthrotec in lieu of

>the Vioxx. I'd try taking nothing, but then I will not be moving at all!

>In

>fact, it's going to take an act of God to get me out of my chair today!

>Thanks again! Love, Judy

_________________________________________________________________

Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp

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--- JOstry93@... wrote:

>

> Sharon, I was able to pull up the info on the metho,

> but I couldn't see

> anywhere to go for drug interactions. Can you give

> me " duh " instructions.

> Thanks. Judy

>

Right across the top of the page (horizontally) there

are a bunch of headings such as; description/brand,

clinical pharmacology, indications/dosage, side

effects/drug interactions, etc.

Hope this helps. I am an admitted dummy on the

computer.

Sharon

=====

__________________________________________________

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--- JOstry93@... wrote:

>

> Sharon, I was able to pull up the info on the metho,

> but I couldn't see

> anywhere to go for drug interactions. Can you give

> me " duh " instructions.

> Thanks. Judy

>

Right across the top of the page (horizontally) there

are a bunch of headings such as; description/brand,

clinical pharmacology, indications/dosage, side

effects/drug interactions, etc.

Hope this helps. I am an admitted dummy on the

computer.

Sharon

=====

__________________________________________________

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In a message dated 09/24/2001 1:24:04 PM Central Daylight Time,

dmorgan26347@... writes:

<<

go online and do a search on methotrexate >>

Dawn, et. al. Spoke to my Rheumy. He says that I can take metho and vioxx

together. He says because I was on vioxx before I started on the metho and

the fact that I tolerate the metho, plus the fact that my toxicity levels are

checked every four weeks and are unchanged since I started on the metho, he

feels that it is safe to assume that the vioxx is not causing any dangerous

reaction in my system. There is also the fact that if I were unable to take

any antiinflamatory meds, it is highly doubtful that I would be walking

today. So we have to balance the risks, and he feels this one is less of a

risk than some of the info out there is saying.

I do feel better, knowing that he is checking this every four weeks, I feel

even better that my levels have not changed since I starte on the metho. And

I agree with him, I NEED TO WALK! I have arthritis in by shoulders, elbows,

wrists and hands, hips, knees , ankles, feet, and especially worse in my back

(the result of three back surgeries). When he tried me on Celebrex, within

about 5 days I was unable to get up from a chair (straight-backed with arms).

So God knows that I need the antiinflamatories. And so long as I am being

monitored so frequently, any changes would be noticed immediately.

I know it's a risk, but I feel it is one I need to take, I need to be able to

walk.

Thank you all so much for worrying, but I think I have to stick with my

doctor, he keeps me moving and free of flares (usually). OK? Love, Judy

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In a message dated 09/24/2001 1:24:04 PM Central Daylight Time,

dmorgan26347@... writes:

<<

go online and do a search on methotrexate >>

Dawn, et. al. Spoke to my Rheumy. He says that I can take metho and vioxx

together. He says because I was on vioxx before I started on the metho and

the fact that I tolerate the metho, plus the fact that my toxicity levels are

checked every four weeks and are unchanged since I started on the metho, he

feels that it is safe to assume that the vioxx is not causing any dangerous

reaction in my system. There is also the fact that if I were unable to take

any antiinflamatory meds, it is highly doubtful that I would be walking

today. So we have to balance the risks, and he feels this one is less of a

risk than some of the info out there is saying.

I do feel better, knowing that he is checking this every four weeks, I feel

even better that my levels have not changed since I starte on the metho. And

I agree with him, I NEED TO WALK! I have arthritis in by shoulders, elbows,

wrists and hands, hips, knees , ankles, feet, and especially worse in my back

(the result of three back surgeries). When he tried me on Celebrex, within

about 5 days I was unable to get up from a chair (straight-backed with arms).

So God knows that I need the antiinflamatories. And so long as I am being

monitored so frequently, any changes would be noticed immediately.

I know it's a risk, but I feel it is one I need to take, I need to be able to

walk.

Thank you all so much for worrying, but I think I have to stick with my

doctor, he keeps me moving and free of flares (usually). OK? Love, Judy

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