Hey everyone hope you’re all having a good day.
So here’s my question. I’m currently taking 7.5 injections of methotrexate and yesterday I had a routine appointment with immunology. I’m clinically immune suppressed due to retuximab infusions in 2013 which knocked out my immunoglobulins and they’ve never recovered. Anyway a few years ago I was given a pneumococcal vaccination to check my immune response and I failed it miserably. So yesterday I had another pneumococcal vaccination as my immunoglobulins have had a slight recovery (if you ask me it’s all the chest infections I had last year that booted it up the bum haha). I have to have another blood test in four weeks to see if the vaccination has had any effect this time, I haven’t had any reaction to the jab not even a sore arm which I’m pleased about. This evening I’m due to inject the mtx and as I’ve only been on this for six weeks and things appear to be quietening down I’m reluctant to not do it as my RA has been awful for years and I’ve had many of the last 9 unmedicated which has done me no favours at all.
being as my blood test is in four weeks is it worth pausing mtx or not ? I know you can’t give medical advice but what would you do ? Inject or not inject ? That is my question. My RA symptoms are not controlled yet. Just as a small point of interest I’m taking prophylactic antibiotics daily and haven’t been considered for IVIG don’t know why perhaps because it’s in short supply and cost and my immunoglobulins were .4 higher than the minimum to make me automatically get them and the fact I’ve somehow managed to remain healthy ish with infections but that’s becoming more of a problem these days