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1st month of methotrexate

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Rheumatoid Arthritis
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Posted 11/18/2012 12:54 AM (GMT 0)
Made it through my first month on mtx. Significant improvement in joint pain, though it's still bad sometimes. Left hip is worst, though it's been in a constant flare for almost a year now. Barely made it through my thanksgiving shopping yesterday. Fevers are gone and generally better.

Fatigue is still an issue. Have to take several breaks during the day, and I'm usually exhausted by 4pm. Also too tired to think clearly. This something that should get better? Any ideas to help?

Minimal side effects so far. Take it Friday night and am ok most of Saturday, until late afternoon. Then very tired. Sunday too tired to get out of bed and some diarrhea. Normal, or worth talking to my rheumy about adding more folic acid? On 1mg every day.
Posted 11/18/2012 3:03 AM (GMT 0)
My first weeks on MTX were bad-we almost had to discontinue it.  I upped my folic acid and it helped tremendously.  Additionally, the fatigue from the MTX got better the longer I was on it.  I don't even have to plan my week around the MTX day anymore.

I hope you continue to improve on it.

Posted 11/18/2012 4:12 AM (GMT 0)
Might be worth asking your doctor about folic acid every day to see if that can help, but only if you can tolerate the folic acid.
I also just started back on mtx and took my first injection on Tuesday!
When I was on it before I could tell it was helping as my swelling was down.
Will hope things Improve for you, keep us posted on this.
Posted 11/19/2012 10:43 PM (GMT 0)
If your fatigue is that severe, you may need something more than just over the counter folic acid. When I initially started my MTX years back, the fatigue was so bad, it would be 10 in the morning and I would still be in bed, my daughter asking me if I was going to get up. My rheumy prescribed Leucovorin and I took it only the day after my MTX dose and it helped wonders with the fatigue, I could actually get out of bed, it was pretty much a lifesaver!
Posted 11/20/2012 3:21 AM (GMT 0)
I'm on MTX 5mg a week. I've been on it since mid July. For the first time I actually forgot to take it on Sunday! I remembered at 8pm that I hadn't taken it. I took it then and then again at 8 on Monday morning.

Interesting to note that today my hands hurt more today! I don't think we can ever understand this disease.
Posted 11/24/2012 4:09 PM (GMT 0)
Sayyadina, Did you get fevers or a sore throat with the mtx? I seem to have a sore throat and wondering if its the mtx? Anyways, how are you progressing and doing, thinking about you....hope the fatigue gets better for you.
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