Well I thought I'd post about folic acid as there are such variations in the doses we all take it might be helpful to some, following an experience at my GPs today!! That and Tilda told me too, ha ha not really but she did think it was a good question.
So having been started on mtx I was prescribed the obligatory folic acid. Mtx Monday, 1 x 5mg folic acid on a Friday. Now as I knew that some people take it a couple of days a week and some every day but mtx day to help with nausea etc, when I stared suffering from nausea I asked my Gp if I could do this too. This was about 10 days ago and he said that would be fine, he would prescribe 5mg of folic acid to take daily except mtx day and that's what I have been taking.
However, when I say my Gp again to ask for a steroid injection today, I happily informed him that the increase in folic acid had helped my nausea. He asked me if I was now taking 2 tablets so I said that no I was taking 6 which he had prescribed for me. He looked shocked and baffled that he had done this and had to double check, he then told me that this was way too much and I should reduce to 2 a week.
Unimpressed as my mtx dose was increased so now expecting bad nausea again, I came home and spoke to the wonderful nras helpline to ask their advice. They read information out from their mtx info sheet which said that folic acid can be taken daily but mtx day if its taken at 400mcg or a maximum of 2 x 5mg per week. They went on to say that an excess of folic can stop or reduce the effectiveness of mtx.
So I know that some of you take folic acid 6 x a week but at what dose. How much folic acid do we all take and what helps. I'm dreading next week when I increase my mtx and decrease the folic acid!!
Take care all, Rosie xx