Hi there. I wondered if I could get some thoughts on what has recently occurred. My MTX was increased 6 weeks ago, and I stopped prednisolone a week ago.
I had a blood test Tuesday. Thursday my GP phoned saying red and white cell count were really low, and to stop taking it until he'd spoken to rheumatology. My CRP was 10 which surprised me as my joints don't feel too bad.
I mentioned I'd had Covid three weeks earlier and still had a persistent bad cough and felt even more exhausted than normal. But he didn't think this was anything to do with the blood results. I was asked to have another blood test the following morning.
He phoned that evening saying latest bloods were back to normal and it was a probably a 'blip,' and could take MTX as normal. He mentioned CRP was now 24, more than doubled in 2.5 days.
I was in bed when he phoned having got home work from and had felt really unwell and totally exhausted.
I asked again if it was possible I was feeling so unwell because of the bloods but he didn't think so. But he said I could delay resuming MTX if I wanted in case I had a viral infection.
i don't know what to do. I feel ill but in different way from how I feel due to RA. My CRP has never gone up that fast and I would normally be in much more pain at that level. I actually thought the higher MTX dose might be working for me because my joint pain and swelling is all but gone and hasn't started to return after stopping prednisolone over a week.ago
I just wondered if I should restart the MTX and if the jump in my CRP could actually be due to something other than my RA, like a chest infection?
As always I'd be really grateful for any thoughts and advice. Seb.