changed to mtx injections: 2 weeks ago I started on MTX... - NRAS

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changed to mtx injections

junik53 profile image
3 Replies

2 weeks ago I started on MTX injections ,The 1st week I injected in the evening and the next morning I had dreadful vertigo even before getting out of bed.But I thought was to do with a head cold that I had 2 weeks before,Then last night was my second injection and I again had the vertigo,it woke me in the night when I turned my head on pillow.I have had it most of today.Rang rheumy nurse she didnt think it was the MTX-JECT as I hadn't had any of this on the tablets .But seems a bit of a coincidence.Has anyone had extreme dizziness on the injections?Drs couldnt help as no appointments ,not even a phone consult ,so left high and dry.Tried 111 and they just say see doctor asap ,how do I do that?I know they are busy but after you spend 30 minutes trying to get through to them and then they say , sorry, no one can see you or talk to you, what the hell are you supposed to do.Sorry for the rant but feeling pretty ill at the moment.

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junik53
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medway-lady profile image
medway-lady

Sounds like Benign Post Praxical Vertigo. Easy sorted with the Eplay manoeuvre which can be done by GP or any ENT consultant. GP can prescribe anti dizzeness pills. Its dreadful condition so my sympathies and use at least two pillows as its caused by the grit in the inner ear moving usually at night. It does settle but best contact GP. A&E will do it too if its really bad.

nomoreheels profile image
nomoreheels

Both MTX tablets & injections can cause dizziness, though it does seem unusual if it wasn't a side effect you had on tablets. Unless, you've not had a dose increase have you, or on the same dose Metoject as you were on tablets? As I explained in my reply to your previous post because of the different route with injections you can often start on a slightly lower dose than the equivalent dose in tablet form. If you are on the same dose, or higher, that could explain why you didn't have this side effect possibly.

If it was me, if you're still bad tomorrow & still no GP appointments & no positive response from your Rheumy helpline I’d think about either going to your local walk-in centre or urgent care at your local hospital. It's very unpleasant & you're in need of advice, or help at the least.

Runrig01 profile image
Runrig01

Sounds like if you’ve moved over from oral to injections at the same dose, that your absorbing a slightly higher amount by this route, hence the issues. I find it best filling out an EConsult form available either via the nhs app or most gp websites. Your not hanging on the phone, your request is read by a health professional not a receptionist, and I always get a cell back either same day or following morning. It may be you need slightly less by the injection route

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