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Medical Forum / Diseases and Disorders / Arthritis / August 2006methotrexate
I just started taking methotrexate and my doctor was not specific on how I should take it. and neither is the directions on the bottle. It was take 4 tablets weekly. Should I take all 4 pills once a week or should I spread them out over the week? Jennifer Usually it means take the tablets at one time, once a week. Be sure and drink plent of water the day of the dose and the day after. Also, did your doctor prescribe folic acid. MTX is notorious for leeching that out of your system. You'll feel better if you take it. Kelly C. >I just started taking methotrexate and my doctor was not specific on how I >should take it. and neither is the directions on the bottle. It was take >4 tablets weekly. Should I take all 4 pills once a week or should I spread >them out over the week? > > Jennifer Yup, she has me on 1mg once a day. along with relafin 750mg 2 times a day, prednisone 5mg a day, percocets 5/325mg when needed, and my regular asthma medications. She has me doing blood work every 6 weeks and I'm seeing her about once a month right now. Jennifer > Usually it means take the tablets at one time, once a week. Be sure and > drink plent of water the day of the dose and the day after. Also, did your [quoted text clipped - 9 lines] >> >> Jennifer > Yup, she has me on 1mg once a day. along with relafin 750mg 2 times a day, > prednisone 5mg a day, percocets 5/325mg when needed, and my regular asthma > medications. She has me doing blood work every 6 weeks and I'm seeing her > about once a month right now. Well, take more if you get any odd effects from the MTX like mouth sores or general nausea or some such. I find that some extra goes a long way toward nixing the side efects. I also find that time makes a lot of difference. After nearly a year I get very little of these things. They used to be a problem. J- Can't believe a doctor would not give you precise instructions with MTX. I've been on it since 1984 (take 3 pills on Sat. and if I forget for more than 1 day I am not to take it). Better check back with doc. Are you in the US? Directions are always on my meds from the Rx. Good luck. Jan O' >I just started taking methotrexate and my doctor was not specific on how I >should take it. and neither is the directions on the bottle. It was take >4 tablets weekly. Should I take all 4 pills once a week or should I spread >them out over the week? > > Jennifer >J- >Can't believe a doctor would not give you precise instructions with MTX. >I've been on it since 1984 (take 3 pills on Sat. and if I forget for more >than 1 day I am not to take it). Better check back with doc. Are you in >the US? Directions are always on my meds from the Rx. Good luck. Jan O' Mine didn't tell me either so I had to ask. He said you should not space them out over 4 days. I forgot why but he gave me a reason. He said all together on the same day. Thumper >>I just started taking methotrexate and my doctor was not specific on how I >>should take it. and neither is the directions on the bottle. It was take >>4 tablets weekly. Should I take all 4 pills once a week or should I spread >>them out over the week? >> >> Jennifer >>J- >>Can't believe a doctor would not give you precise instructions with MTX. [quoted text clipped - 6 lines] > said all together on the same day. > Thumper Hi All,,, Its to give your liver time to recover before its time to take it again next week. Some people split the dose early and late on the same day for stomach reasons but I never did... Many years at 17.5 mg to hold my RA at bay,,, each pill being 2.5 mg. Many people take Methx on Sat. It lets them have a day of feeling kind of washed out before they have to go back to work. A person gets used to the blood tests every month or two just checking to see how the persons liver is doing. Good luck with it... Harv >>>J- >>>Can't believe a doctor would not give you precise instructions with MTX. [quoted text clipped - 9 lines] >Hi All,,, Its to give your liver time to recover before its time to take >it again next week. Yes that's right. He said spacing it out was tougher on the liver, now that you mentioned it. Thumper >Some people split the dose early and late on the same day for stomach >reasons but I never did... Many years at 17.5 mg to hold my RA at bay,,, [quoted text clipped - 4 lines] >Good luck with it... >Harv It doesn't seem to affect me at all or do much good for that matter but they want to keep me on it because I'm taking Humira. Speaking of which, I was taking a double dose of Humira (a shot a week) for three months and started to feel really fine. Almost got completely off Prednisone but my RD said something showed up in studies that said it might not be good for me so back to once every two weeks and I'm experiencing flares every 2 weeks as well as a hell of a bad lower back. If it isn't one thing it's another. Thumper >>Hi All,,, Its to give your liver time to recover before its time to take >>it again next week. > Yes that's right. He said spacing it out was tougher on the liver, > now that you mentioned it. > Thumper Whoever said that is not up on the practice of using Methx to treat inflam.arth. All in one day is the accepted best practice for the most people that take it. If the "he" is a doctor,,,,, its time to get another one. Harv >>>Hi All,,, Its to give your liver time to recover before its time to take >>>it again next week. [quoted text clipped - 8 lines] >one. >Harv Are you sure you read this right? That's what I agreed to. Thumper >>>>Hi All,,, Its to give your liver time to recover before its time to >>>>take [quoted text clipped - 13 lines] > Are you sure you read this right? That's what I agreed to. > Thumper LOLOL Hayyyyy, its nice when someone agrees with youuuu,,, huh. Harv I take the same, Jennifer, and you are to take all 4 pills at once each week. Nanny >I just started taking methotrexate and my doctor was not specific on how I >should take it. and neither is the directions on the bottle. It was take >4 tablets weekly. Should I take all 4 pills once a week or should I spread >them out over the week? > > Jennifer >I just started taking methotrexate and my doctor was not specific on how I >should take it. and neither is the directions on the bottle. It was take 4 >tablets weekly. Should I take all 4 pills once a week or should I spread >them out over the week? > >Jennifer All at once. Don't take my word for it though. Check with your doctor. Thumper |
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