folic acid: good morning, i have seen in a few posts... - NRAS

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folic acid

jujubee43 profile image
7 Replies

good morning,

i have seen in a few posts that some RA patients are taking folic acid along with their meds. i am taking enbrel and am wondering if i should ask my rheumatologist if i should take folic acid.

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jujubee43
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7 Replies
Matilda7 profile image
Matilda7

You only need it if you are taking methotrexate!

Are you on Enbrel alone?

jujubee43 profile image
jujubee43 in reply to Matilda7

yes, enbrel (once a week) and 5mg prednisone (daily)

beeckey profile image
beeckey

Only people on Methotrexate need take it are you on this medication.

jujubee43 profile image
jujubee43 in reply to beeckey

no, just enbrel

Eiram50 profile image
Eiram50

Hi jujubee

I agree with the other posts, people who are prescribed methotrexate are also prescribed folic acid - simply due to the way methotrexate impacts the body.

However, if you were anemic it's possible you'd also be prescribed FA.

It's not prescribed as a run of the mill thing and also not suitable to take with many meds.

Marie

nomoreheels profile image
nomoreheels

It's only prescribed in conjunction with MTX I'm afraid, unless a blood test shows you've folate deficiency anaemia then it's prescribed as a first line treatment. You'll have read here that it's most often mentioned when discussing MTX? This is because of the way MTX works it can't determine 'good' cells from 'bad', one 'good' one being folate, the DNA cell needed for healthy cells to regrow. You may have heard that MTX was originally a chemo med for specific cancers until it was discovered it worked in a similar wayang much lower doses for RD & other autoimmune diseases. This is why side effects are related to things like hair, mouth ulcers & the digestive system & why it's not to be used if planning a family or in pregnancy. Enbrel works in an entirely different way so folic acid wouldn't be appropriate.

Martinilady profile image
Martinilady

Im on Humira & explained to my GP that the Fatigue was getting me down. She arranged blood test & result was my folic was low so she prescribed 30day period of Folic acid pills. I was surprised coz I thought Folic was only taken when on methotrexate but apparently not.

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