methotrexate : anyone else on methotrexate and how have... - NRAS

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methotrexate

Dexter1414 profile image
16 Replies

anyone else on methotrexate and how have you been with them I’m on folic acid on a Wednesday and then 5 methotrexate tableys on Thursday just want advice on vitamins as always been told not to take on the day I take methotrexate and is anyone taking magnesium Aswell

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Dexter1414
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16 Replies
helenlw7 profile image
helenlw7

I’ve been on methotrexate for over 10 years. To start with I was taking one 5mg folic acid tablet on the day after the mtx. I started on 20mg of mtx but it was found to be down my liver so the dose was reduced to 15mg, 6 tablets, which I take on a Monday. My folic acid was increased to 5mg, 6 days a week, every day except the mtx day. I’m not taking magnesium.

Ali_H profile image
Ali_H

double check when you take your folic acid as my understanding is it is taken the day after the MTX not before!

Dexter1414 profile image
Dexter1414 in reply toAli_H

Not what they told me take a day before methotrexate

Madmusiclover profile image
Madmusiclover in reply toDexter1414

I think you can take it any day but the day you take metho.

Brian1977 profile image
Brian1977

Yeah I took mine day after too

pammi2 profile image
pammi2

are you not supposed to take the methotrexate first then the folic acid day after??

AgedCrone profile image
AgedCrone

You should always discuss with your rheumy team when you want to add any supplements. A quick rule of thumb is if you need them- your rheumy will prescribe them.

Runrig01 profile image
Runrig01

I’m on 25mg of MTX, and also take folic acid 5mg 6 days a week. When I took folic acid once a week, it was also the day after as others say. I’ve been taking magnesium for many years, it was suggested by my gp to help with muscle spasms. My rheumatologist is also aware I take magnesium and has no issues. I’m also on a biologic, and been on both for over 8yrs

ABwn profile image
ABwn

I take one folic acid tablet on 6 days and mtx on the other day. When put on mtx I started losing hair too quickly so put onto fc. I'm also on hydroxychloroquine. Now have osteoporosis so prolia has joined the mix. Good luck.

Jfw24 profile image
Jfw24

I take 8 methotrexate on a Sunday then folic acid for five days starting on Tuesday for the nausea. I take vitamin D3 and Calcium (with magnesium and zinc) due to my rheumatologist recommending them.

Dexter1414 profile image
Dexter1414 in reply toJfw24

So you take magnesium but not on the day of methotrexate

Jfw24 profile image
Jfw24 in reply toDexter1414

I take it every day as it’s in with the calcium as you need magnesium to help the body absorb the calcium. My rheumatologist knows and he didn’t object.

Gymcactus profile image
Gymcactus

I only take one 5mg folic acid with 15mg Methotrexate and was told by consultant folic acid Friday and methotrexate Monday so it was easy to remember what day to take them on.

Cat-E profile image
Cat-E

I started off taking folic acid the day after mtx but was still getting side effects so increased to folic acid 6 x a week. The nurse said the important thing is to keep a 24 hour window around your mtx where you don't take FA. I have since decreased my FA to about 3x a week (when I remember basically!) I also take multi vit and glucosamine & chondroitin everyday apart from mtx day.

Olliechops profile image
Olliechops

I take methotrexate on a Monday and then folic acid on the Wednesday. I was told to take the folic acid two days after methotrexate.

Purple4710 profile image
Purple4710

Interesting reading all the replies hereI haven't been told by my reumy when to take Methotrexate and when to take Folic Acid

I take 4x5mg of Methotrexate on a Wednesday night before going to bed and Folic Acid daily

However I don't feel that Mtx is working as I expected

Not due to see Rheumatologist until April

Christine

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