Missed dose if methotrexate now got wrist pain

[GinnyE]

Been on 10 mg of methotrexate a week for six months but missed last week due to virus. Now have incredibly painful wrist. My doctor said I was Early Diagnosis and that his target for treatment was to suppress symptoms completely... which had worked until this week. Is it all going to go pearshsped now?

[Hidden]

It would be very unusual for one missed dose to cause such pain. You might have started a flare which could happen at any time regardless of you missing a dose. But 10mg is quite a low dose, perhaps you need an increase in your dose. Could you ring your Rheumy nurse and ask for advice?

[Hidden]

I echo what poemsgalore replied. Plus I’ve never noticed any difference if I miss a dose of mtx. Hope you get sorted soon.

[purl]

I missed my dose last week because I had a cold. Yes I had pain/inflammation in my hands and knees. Took my methotrexate this morning and already pain/inflammation is subsiding.

So glad because now I can get back to my knitting, xstitch, gardening and the other 101 things that I want to do.

[Joy_1]

I have to miss 2 doses before things change for me, I am on 20mg MTX. My first symptom is stiffness not pain. I had to miss 2 doses last year due to a really nasty chesty bug which was tipping into chest infection. However consultant agreed that it was right to miss 2 doses and thankfully I avoided the chest infection.

10mg may be considered by most to be a rather low dose. However I know of someone where 22 years at 7.5mg MTX kept her RA at bay.

[pd118 in reply to Joy_1]

costochondritis flared ribs ? diclofenac drops relief

[GinnyE in reply to Joy_1]

Good to hear that people can have things under control for years... must not get too anxious. Rhumy put my max dose up to 15 mg and gave me a steroid injection.. wrist settled down bit of tingling in two fingers still.. 🤞

[pd118]

fill up a week medical dispenser stress free !