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Holy crapola! Methotrexat question

36 replies

Alwaysworthchecking · 28/10/2011 00:17

I've got Lupus SLE and have been on low dose of steroids for 3 years...or maybe 4...I can't remember. (Isn't Lupus great like that?) However, my rheumatologist wants me off them and on methotrexate. I took the full dose, as recommended, on week one and felt awful beyond awful for several days. It was like being poisoned.

I spoke to my GP, who suggested cutting the dose by half, but I chickened out of that and cut it to 1/4 dose. Much better, but still feel awful abut 24 hours afterwards. Not as awful as before, but still not good. GP said I should keep at this dose (I confessed about the lower dose) until I can tolerate it and then gradually increase. However, it's been 3 weeks now and I don't feel at all tolerable!

I'm meant to have blood tests every two weeks and I forgot this week, as it's half-term. Was speaking to a GP friend today, who has just put the fear of god into me, re. forgetting the blood test. So obviously I need to get that done tomorrow and to stop worrying about what the methotrexate might have done tome in the meantime. (Not easy - she was quite menacig and the word, 'leukaemia' is enough to scare anyone, right?)

I just wondered if anyone else has had a bad time on methotrexate, what happened, what your side-effects were and whether you eventually tolerated it or had to give up? Frankly, I'd be happy never to take it again, but I wanted to give it a good go. Apparently what they offer me next is likely to be even worse. Such fun!

Anyway, if you're still reading this, here are my side effects: about 24 hours after taking it I suddenly become very tired - have to lie down RIGHT NOW tired. I feel nauseous and dizzy. I have a feeling of pressure behind my ears (like when you rapidly gain or lose altitude), my tongue hurts, my throat feels sore and my mouth kind of 'buzzes'. Eating makes my mouth feel worse. My tongue feels swollen and I feel uncomfortable talking but when I check in the mirror, my tongue looks the same as ever (so it's not actually swollen). My feet ache, my ankles ache, the backs of my legs ache and my knees ache. On one table a week this lasts one evening and the sore mouth lasts the following day. One four tablets a week it all lasted 3-4 days and was much worse.

Anone I know on it raves about it, so please do speak up if you weren't so keen. I'm feeling a bit of a freak, right now!

OP posts:
thefirstMrsDeVeerie · 31/10/2011 21:37

I was going to suggest mouthcare. All the kids on mtx had a really strict mouthcare regime.

They were all on Corsodyl so I assume thats the best one and its not too expensive.

It is very vile though bluegh but I suppose you can get used to it Grin

Soft toothbrush (a toddler one is good because its has a small head too).

shitmagnet · 31/10/2011 22:58

This reply has been deleted

Message withdrawn at poster's request.

Alwaysworthchecking · 06/11/2011 22:01

Thanks. I'll keep up with the listerine and get Corsodyl when that runs out.

Had some improvement last week, when following advice on here. I took my folic acid the morning after and not the evening after. Still got the side-effects but not for nearly as long. Still not impressed, but am slightly more impressed than I was.

OP posts:
RunnerHasbeen · 07/11/2011 17:15

One advantage to the injections is that you can ease on more gently, I had a bad time straight away but when I eased onto the dose over three months by injection, I was fine and fine from there on in. A lot of your side effects do sound like digestion based problems as well, so they would be good for that.

Strangely for me they did it differently to you, I didn't reduce my steroids alongside but was given a high dose to make sure the RA was under control while my body learned to tolerate the MTX gradually (but that could be because it was a three month plan). I also introduced some milder drugs alongside the MTX, as it looked like I needed a dose higher than I could tolerate. These mild drugs (sulphasalazine and hydroxychloroquin) were useless on their own but together it seemed to work well for me. The advantage to that was any time I had any very mild side effects, I could reduce the MTX slightly and adjust my other drugs up.

Don't worry too much about cancer inducing side effects, the absolute risks are still tiny and you are being so much more monitored than most people.

Alwaysworthchecking · 15/11/2011 14:51

Thanks, RunnerHasbeen (great name!). I'll ask about injections at my next appointment.

I'm having some success with taking the folic acid the morning after, instead of the evening after. This thread has been really helpful! My main side effect now is the sore, scratchy tongue. The other symptoms are there, but now more in the background. My ESR is right down too, so I presume it is having some positive effect, at the same time as making me feel like death. All in all, my lupus is a lot calmer.

OP posts:
ImperialBlether · 19/11/2011 14:02

I first took Methotrexate for psoriatic arthritis a couple of years ago and couldn't bear it. I couldn't sleep, felt sick constantly and generally felt awful.

Now I'm taking it again with folic acid (5mg) every day except the day I'm taking Methotrexate and it's much better. I don't really feel any different, though in the evenings I'm very tired - not sure whether that's a side effect or I'm just getting old!

I'm also on an anti-TNF that I have to inject - is anyone else on that?

wonkylegs · 19/11/2011 17:32

I'm on anti-tnf - humira, and inject [oww] that along with Mtx
Last night's bloody killed for some reason Sad but it's definitely worth it. It sounds daft but I love that my rings now actually come off my fingers!! I'm also so much better on the pain, stiffness & fatigue... But I can't show that as a party trick Wink

I don't know how long you've been on the Mtx but it can take 3-6months to get fully in your system as can the anti tnf so it may take a while to feel the benefits.
Thankfully I seem to have a cast iron liver (medics opinion not mine Grin) so I seem to tolerate even the toxic meds quite well.

ImperialBlether · 19/11/2011 17:35

Yes, my injections hurt, too, wonkylegs. Have you ever been tempted to open the casing to see how big the needle is? I'm tempted but worried in case it's 1 mm long and I've made all this fuss!

wonkylegs · 19/11/2011 22:07

It's not the needle that hurts it's the humira going in ... Which is why it's better if you let it warm up a bit after taking it out of the fridge. It's an average sized needle which is actually quite fine.., I'm dead nosy Grin
Although I wish the guy who injected steroids into my hip joint had never showed me the needle from that one!

sashh · 20/11/2011 10:34

I was on it for 10 years.

The symptems do recede over time but I always had to 'write off' one day due to fatigue and nausia.

I think you need to talk to your doctors

sashh · 20/11/2011 10:35

I should add that one of the side effects I also got was blond wavy hair rather than the straight mousy I've had since I was a child.

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