Jakey2020: Hi everyone, has anyone on methotrexate... - NRAS

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Jakey2020

Jakey2020 profile image
34 Replies

Hi everyone, has anyone on methotrexate taken more than one 5mg folic acid to combat side effects???

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Jakey2020
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34 Replies
helixhelix profile image
helixhelix

I take 5mg a day for 6 days a week. In some countries they use 1mg and in others 10mg. It is very varied.

Jakey2020 profile image
Jakey2020 in reply to helixhelix

Thankyou for the reply, I don’t like the tiredness ,

KathleenMary profile image
KathleenMary in reply to helixhelix

So do i

012703060610 profile image
012703060610

I take 3 mgs per day. Will ask if more could help with my hair loss!

AgedCrone profile image
AgedCrone

There would be no point….FA is water soluble & any excess you don’t need you just wee out !

Have a word with your rheumy nurse & see what she advises.

bpeal1 profile image
bpeal1 in reply to AgedCrone

Many people take 5mg six days a week rather than once a week so there must be some point otherwise rheumatologists wouldn’t recommend it. Unfortunately for me even upping folic acid to six times a week did nothing for my symptoms from methotrexate and I had to swap to a different medication.

AgedCrone profile image
AgedCrone in reply to bpeal1

If you look at a previous post…..unless I misunderstood Jakey reckons she is taking 35mgs a week,although she does say her doctor said to take 5mg 6 days per week, missing out Mtx day…that is why I said she should have a word with her rheumy nurse.

Runrig01 profile image
Runrig01

I take the 5mg six days a week, it was increased from 1 a week due to nausea.

Haz58 profile image
Haz58

When I was on MTX I was on 1 a week. But the tiredness etc made them tell me to up it to 6 days a week. 5mg. It helped.

emmajj1971 profile image
emmajj1971

I was taking folic acid every day then transferred onto injections and has less side affects

GinnyE profile image
GinnyE

I take 5mg each day for six days.

Jakey2020 profile image
Jakey2020 in reply to GinnyE

Thanks Ginny, I feel much better than I did on one 5 mg…

cyberbarn profile image
cyberbarn

It is possible to get side effects from taking too much folic acid:

"When taken by mouth: It is likely safe for most people to take folic acid in doses of no more than 1 mg daily. Doses higher than 1 mg daily may be unsafe. These doses might cause stomach upset, nausea, diarrhea, irritability, confusion, behavior changes, skin reactions, seizures, and other side effects."

webmd.com/vitamins/ai/ingre...

AgedCrone profile image
AgedCrone in reply to cyberbarn

In the UK when you are prescribed Mtx ….5 mg of Folic Acid is considered a safe dose as Mtx deflates our normal FA. If you read back you will see that many people here take that dose quite safely as prescribed by their rheumatologist.

Hence 5mg FA tablets are only available on prescription here.

cyberbarn profile image
cyberbarn in reply to AgedCrone

Yes, but the original poster asked if they could take more. The original post didn't specify if it was per day or once a week. The idea that you just excrete what isn't needed is not correct, there can be side effects.

AgedCrone profile image
AgedCrone in reply to cyberbarn

If you look back at the writer’s previous posts you will see what I mean. You can only buy a minute dose of FA OTC…..the 5mg tablets we are prescribed are on prescription only.

Which is why I said I thought Jakey2020 should speak to her rheumy team so that they could explain to her why she is prescribed the dose she is taking…& how often she should take it.

Jakey2020 profile image
Jakey2020 in reply to AgedCrone

Rheumatology sent me a scrip for 6mgs folic six days a week methotrexate on seventh… today is first day I feel fairly normal…👍🏽

Boxerlady profile image
Boxerlady in reply to Jakey2020

That's interesting - I hadn't heard of anyone being given more than 5mg a day. Hope that it helps you.

Jakey2020 profile image
Jakey2020 in reply to Boxerlady

Silly me I caught the 6 instead of 5 … so thanks for putting me right

AgedCrone profile image
AgedCrone in reply to Jakey2020

It’s so easy to do…In fact I was just trying to order something on line..& I typed 6 instead of 5….. because I was watching TV without my glasses! Luckily I re-checked it….otherwise who knows what I might have bought.😁

Good luck with the Mtx..I took it very successfully for 7 years!

Jakey2020 profile image
Jakey2020 in reply to AgedCrone

Before I was on mtx I had a drink and next day I had a Dyson delivered 🤣

AgedCrone profile image
AgedCrone in reply to Jakey2020

You should have had two drinks…you might have got a GTech!

MadBunny profile image
MadBunny in reply to AgedCrone

🤣🤣

Jakey2020 profile image
Jakey2020 in reply to AgedCrone

Ha ha that was next time 🤣 got both!!! Safe now I can’t drink 😭

Boxerlady profile image
Boxerlady in reply to Jakey2020

No problem - I'm on that too and it really helped me with the initial side effects 😊

AgedCrone profile image
AgedCrone in reply to Jakey2020

I think if you look closely you might might the Folic Acid dose is 5mg. One tablet to be taken each day …….except on the day you take methotrexate. Check the FA container, the dosage will be on that.

AgedCrone profile image
AgedCrone in reply to Jakey2020

I’m glad you are feeling better.

Jakey2020 profile image
Jakey2020 in reply to AgedCrone

Thanks AgedCrone.. hope I’m same tomorrow 😘

MJSlide1958 profile image
MJSlide1958 in reply to AgedCrone

I think a blood test can tell whether folic acid is too higher does? (5mg 6 times a week)

I take folic 6 days a week (not Mtx day).

Jakey2020 profile image
Jakey2020 in reply to

Are they 5mgs 6 days a week ??

in reply to Jakey2020

Yes, sorry..

Chrissycl profile image
Chrissycl

I take 5mg a day not on methotrexate but do take sulfasalazine which interfers with the absorption of folic acid

Jakey2020 profile image
Jakey2020

I couldn’t handle side effects from sulphasalazine .. Methotrexate seems ok but tired and no appetite so they upped folic acid to six a week!!! Hate the tiredness xx

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