Quick question - is it OK to take MTX tabs - forgot t... - NRAS

NRAS

37,614 members46,558 posts

Quick question - is it OK to take MTX tabs - forgot to take the folic acid yesterday.

MrsBones123 profile image
17 Replies

I should have taken the folic acid yesterday, darn it :-( blame brain fog that's my excuse and I'm sticking to it.

I could try ringing the GP but can never get through on a Monday it's always engaged.

Could I take the MTX anyway and the folic acid tomorrow, or is it vital to take it the day before?

Thanks in advance!

Written by
MrsBones123 profile image
MrsBones123
To view profiles and participate in discussions please or .
Read more about...
17 Replies
hatshepsut profile image
hatshepsut

No....I take folic acid every day except the day I take MTX . You should be fine. M x

MrsBones123 profile image
MrsBones123 in reply tohatshepsut

Thanks hatshepsut! XXX

helixhelix profile image
helixhelix

Should be fine... I only take folic acid once a week and sometimes (ie fairly often!) forget with no ill effects..

Downtime profile image
Downtime

I was told to take folic acid only once a week on the day after MTX.

Amy_Lee profile image
Amy_Lee

Dear All, we should take folic acid everyday except the day we take methotrexate. Read the reasons from the link below, folic acid helps to counteract methotrexate’s effects on our healthy tissue.

livestrong.com/article/4206...

helixhelix profile image
helixhelix in reply toAmy_Lee

Yes folic acid helps counter side effects, but as the article says it can also make the methotrexate less effective. So you should take the amount of folic acid recommended by your medical team, who often aim to prescribe the lowest dose possible. I only take it once a week now, and that works well for me and I don't need more.

Amy_Lee profile image
Amy_Lee in reply tohelixhelix

helixhelix,

Have you checked with your physician to ensure that is the optimum about for you? Well, I will check with my doctor comes the next visit in August to see what she has to say. If she says I can reduce it then it will be great. We really have been taken too many medicines everyday.

Another medicine that my doctor said to be reduced if my condition continue to go well is ARAVA. I am also taken this daily.

helixhelix profile image
helixhelix in reply toAmy_Lee

Yes, it's on her advice. At one point I needed 3 a week to keep mouth ulcers at bay, but now it's fine. I have no proof, but in part I think it's improved because I have a good diet with lots of leafy green vegetables. She's also the type of doctor who is very careful not to over-medicate, so I'm always confident about her advice.

Amy_Lee profile image
Amy_Lee in reply tohelixhelix

You and I are lucky to have good doctors with us. I will ask my doctor in coming Aug to see if I can also reduce the dosage of the folic acid. Thanks for the experienced talk.

MrsBones123 profile image
MrsBones123

Thanks everyone :-)

I was prescribed 5mg folic acid x 2 tabs to be taken on the day before the MTX. Seems to be that different rheumies have different ideas about it? Before v after?

Anyway, thanks for your help folks.

Keep meaning to get one of those daily pill reminder boxes.

Amy_Lee profile image
Amy_Lee in reply toMrsBones123

Dear MrsBones123,

It is rather confusing, right? Anyhow, with the different prescriptions that we have learned here, we can always post them to our doctor and see what they will say. I will ask them about the daily in-take of folic acid as highlighted by helixhelix. If not necessary, it is always good to cut down some. However, remember no folic acid on the day of methotrexate.

MrsBones123 profile image
MrsBones123 in reply toAmy_Lee

Hi Amy Lee, yes, have just googled MTX folic acid and the debate about much folic acid and how often rolls on...maybe the medics will eventually settle on a conclusion :-) I suppose we are, in a way contributing to the debate by our experiences. I don't like to use the term guinea pigs, lol, but at my RD- novice stage, not on MTX day is the most important thing to remember.

What a learning curve it all is! :-)

Amy_Lee profile image
Amy_Lee in reply toMrsBones123

We certainly cannot blame the doctors too because no better medication available those days for them to use. I would say, they have to trial an error on us all to see the result too. Yes, we are all guinea pigs but we have no choice because of the extreme pain that we had on our whole body.

TerrilouiseS profile image
TerrilouiseS

You should be fine. I forgot when taking MTX also and took it regardless.

The only thing is you may feel sick if you suffer with that usually.

Best wishes

xx

Aless2002 profile image
Aless2002

I've learned, through experience with quite a few unrelated medications, that timing/dosage is very individual. The way my body deals with medications seems to often be different to 'the norm' (as the drug companies see it). Happily, I have had some very wise pharmacists who know this, and they have helped me to find the regimen that suits ME each time. Trying a different approach with the medication is worth trying, with the help of a health professional.

MrsBones123 profile image
MrsBones123 in reply toAless2002

Yes, I think the way our bodies react to meds can be quite different to someone else's. And docs don't usually have time to go into all the possible variables. I was just reading on a pharmaceutical website about splitting the MTX dose into two or even three (within 24 hour period) to avoid side effects, Hmm, might be worth asking the rheumy or pharmacist.

Think you're lucky if you find a side one, they are worth their weight in gold :-) Met a few over the years who helped with other meds. and suggested different things.

MrsBones123 profile image
MrsBones123 in reply toMrsBones123

Sure I typed wise, not 'side'. Either auto - correct or fingers having a wobbly! :-)

Not what you're looking for?

You may also like...

How long after your mtx do you take your folic acid?

My pharmacist advised me to leave 4 days so I take my mtx on a friday and folic acid the following...

What is the reason for not taking folic acid on MTX day?

Suffering a memory lapse and can't for the life of me remember why we don't take folic acid on the...
tiger profile image

How to combat severe bloating with MTX and Folic Acid

I am taking 15mg MTX once per week and 15mg Folic acid the next day. Have been on this dosage since...
DenMum profile image

everyone seems to take a different amount of folic acid

I was wondering what the correct dose of folic acid should be when taking methotrexate. I was told...
mille profile image

Starting Methotrexate. Any advice on when to have blood tests and take folic acid please?

Hi everyone, I'm about to start taking Methotrexate, initially 15mg with 5mg folic acid once a...
devette profile image