For the past year I've been on methotrexate injections 20mg weekly, plus folic acid 6 days per week. My nausea levels have increased gradually over this time and now I'm finding very few days without feeling sick periodically in the day. I'm in remission with my RA, so don't want to change meds. Has anyone got any tips for controlling the nausea please?
Thank you.
I found drinking lots of water, several litres a day and eating regular carbohydrates helped, not allowing myself to get hungry was critical. The downside of the carbohydrates was I piled on weight. But, I found 'organic goodies baby banana and date bars' only have 51 calories per bar (my 14 month grandson loves them) do the trick for me.
They are expensive, but they work for me without too many calories and along with a cup of green tea, settle my stomach.
That's interesting what you say about not getting hungry because I've been dieting recently and the nausea's been getting worse, so that might explain it. thank you for the low cal tip. I'll buy some of those bars and give them a go.
I am about to increase my mtx dose and am not looking forward to it as I have nausea at my present dose. I have found drinking ginger tea, eating crackers or salty crisps all help (not necessarily at the same time 😂) . Water and carbs too. The good thing is it's cured my love of chocolate and sweet foods so I save a few calories there. I too tried to diet and I think it triggered a flare (?)
I would tell rheumatology just how sick it’s making you feel; that’s no quality of life & they may be able to suggest something else, even though it’s working for RA. I stuck with similar dose to you for over a year, reduced dose, added Hydroxychloroquine etc. I didn’t feel I had a choice, constant nausea/ fatigue, other side effects, various meds to counteract them, inability to sleep & utterly depressed. Even tried CBT too but the biggest change for me was stopping MTX & change to biologics. All the above reduced & most ‘normal’ i’ve felt since i’ve had this awful disease (2 years+). Not medical advice obvs 😊 hope you find a solution to suit you, sadly all the meds for this seem to have side effects/risks attached x
You're right, it's about balancing the meds between effectiveness and side effects. that's one thing i'm learning. Will try some self help tips and see how I get on. Thank you and glad you are feeling well 
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