operation and stopping MTX

[Flor1rence]

I am due to have an elbow release operation on 8th April which is a Thursday and inject on a Friday but I am not sure whether to stop MTX week before then not have it on that Friday or say the 9th then the following Friday. Do I stop the folic acid daily or carry on with that. The nurse at pre op said do what I feel is best😦Dermatology said week before and week after😞I have not had an operation before whilst on this medication😉

[helixhelix]

That’s not very helpful! They are supposed to advise you.....

Is it arthroscopic surgery as a day patient? As in tiny incision and teeny, tiny tools? And how well controlled are you so would you risk flaring if you missed a week?

You need to weigh up the factors and choose. Here’s a piece of research that might help you decide

ard.bmj.com/content/60/3/21...

[Flor1rence in reply to helixhelix]

I have been told I have general anaesthetic op takes about 90 mins. I am well controlled if I stop yes as I only take a low dose now. I will have a look at your research you posted. thank you for your information.😊

[Flor1rence in reply to Flor1rence]

I have just spoken to nurse and she said to carry on with MTX as it won't make any difference either way. It is in your system. I have an appt with them 4 days after surgery but I have asked for phone consultation as I won't be able to drive. Good news is my 2nd vaccination for AstraZeneca is next week. 😉🎉

[Flor1rence in reply to helixhelix]

thank you helixhelix, always give good advice on here❤

[dippyd09]

I ave had several operations. They used to tell you to stop it before your op but over the last few years they have changed the advice. It can cause a flare afterwards. I am on 25mgs weekly and continued taking it before last four ops.

[Flor1rence in reply to dippyd09]

thank you dippyd09. my last operation was December 2017 and I don't remember stopping the MTX and I was on 17.5 then much higher than the dose I currently inject. 😊x