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MTX side effects

Papaloo profile image
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Hi everyone

I am really struggling on MTX. I have been taking them now for 7 weeks and things are not getting any better. I'm experiencing chronic nausea, fatigue, tummy ache, rashes and mouth ulcers. The pain and stiffness in my hands are getting worse.

Is this normal? Rheumy nurses just keep telling me to persevere but there is only so much I can take. They have upped the folic acid to the day before and after MTX.

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Papaloo
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FamilyHistorian profile image
FamilyHistorian

About 30 years ago one of the RA drugs that I was on (Penicillamine) which I had been on for 10 yeArs suddenly stopped working and I finished up in a rheumatology ward unable to move for 6 weeks. During that time I was gradually introduced to MTX taking the dose up to 22.5 with folic acid 10mg mid week. As far as I can remember I had no side effects with my symptoms improving. I was also on a reflux drug can’t remember what.

So that is what happened to me however these drugs don’t suit every one. I believe there is an injection version.

Now at the age of 72 I have found out that there are side effects of MTX and despite being a non smoker I now have damaged 🫁

I have asked myself the question “ if I had known would I have still taken the drug?” I think because of the relief I got I probably would have continued.

Are you having frequent blood tests?

Papaloo profile image
Papaloo in reply to FamilyHistorian

Yes having 2 weekly blood tests.

FamilyHistorian profile image
FamilyHistorian

Are things starting to settle down now?

Papaloo profile image
Papaloo in reply to FamilyHistorian

A little. I take MTX on Monday evening and still feel quite nauseous on Tuesday, Wednesday and Thursday. Only taking folic acid on day before and day after MTX so I'm going to see if i can take it more often. I have a lot of pain in both hands that i never had before?

Calysta profile image
Calysta

It is normal and I switched to injecting the drug myself once a week. There are none of those side effects and the injection is easy. My dr also gave me leucovorin which I take 12 hours after the shot. This is a large dose of folic acid and eliminates the daily doses. Be well

Hi,I had

those side effects and more.

I take folic acid 5 days a week, obviously not on methatrexate day and changed from methx to subcut jab and now side effects cut right down, although I still feel rubbish and so fatigued for 2 days following methx.

I've asked for reduction but told not yet.