Missed methotrexate dose tonight.

[Dontwannabesick]

Help please, not for me but for OH. Working away today back tomorrow. He has RA and is on methotrexate 20 mg a week. Dose was due this evening, but he forgot the injection pen. Can he take lunchtime tomorrow when he's due home? Thanks in advance.

[SheffieldJane]

When doctors were trying to convince me to try Methotrexate, I was told that if it didn’t suit me, I could stop it straight away without tapering, this suggests that it would be safe to be a day late with the dose. He could ring 111 to be doubly sure.

[Dontwannabesick in reply to SheffieldJane]

Thank you

[yorkieme]

I came off MXT one week ago and no problems since,it does say in the info' sheet that if you miss a day then don't double up but take the next dose as normal.I too was on the epipen.

[Dontwannabesick in reply to yorkieme]

Thank you

[MrsNails]

Hi

I’ve doubled checked the Patient Information Leaflet (PIL) & it says “Do not take a double dose to make up for a forgotten dose” which isn’t really helpful, l’d advise ringing your Rheumatology Nurse for advice

I’ve found some more information for you

sps.nhs.uk/wp-content/uploa...

Methotrexate Once-Weekly:

Doses should normally be taken on the same day each week (11,12). If a dose is missed, it can be taken as soon as it is remembered if this is within two days. For instance if a person normally takes their methotrexate on a Tuesday, they could take it on Wednesday or Thursday (12). However, if the dose is three or more days late then a doctor or the rheumatology clinic should be contacted for advice. A double dose should not be taken to make up for a missed dose (11). It is unlikely that a disease flare-up would occur as a result of a single missed dose (12)

nhs.uk/medicines/methotrexate/

MrsN

When l was on Tablets l’ve taken them following day if for some reason l’ve felt unwell & thought l was heading for a cold etc so have delayed it by a day.

[Dontwannabesick in reply to MrsNails]

That's good, thank you for that. He will take it today, so less than 24 hours late.

[Longtimer]

You could ring his nurse at the hospital that deals with MTX patients, they are very helpful, and give quick answers....

[Dontwannabesick]

All, good. Home safe and injection done before lunch, so only 19 hours late. Thanks for being there guys xx

[MrsNails in reply to Dontwannabesick]

Great! x