Methotrexate early side effects
What are the early side effects?
Methotrexate Early Side Effects
Assoc. Professor Peter Youssef
Rheumatologist, Royal Prince Alfred Institute of Rheumatology and Orthopaedics, Sydney
Chair – Arthritis Australia Scientific Advisory Committee
Once treatment is started, it is important for patients to maintain close contact with their general practitioner and their rheumatologist. Patients should report any side effects to their general practitioner or their rheumatologist.
Dr. Marina Kang
Because they’re such a specialised medication I just generally tend to get them to come back and if they have any side effects I tend to pick up on any unwanted side effects that they may have. But generally the patients come back and they tell me, or I get a letter back to say that they’ve been put on these medications and they’re generally very effective. So my role is, I feel, to just make sure that there’s no unwanted side effects, that they’re aware of what the side effects potentially could be and the step in when there’s a need for them.
Dr. Samuel Whittle
Rheumatologist, The Queen Elizabeth Hospital, Adelaide
Some people experience some minor side effects when they’re starting out on it. Things like some nausea or some gastric upset. Sometimes some tiredness or fatigue. Particularly on the day after they take the methotrexate but often for the rest of the week they have no symptoms at all and many people who have those early side effects with methotrexate find that those side effects improve over time. There’s also ways that the rheumatologist can help to offset some of these side effects and one of the best ways that we do this is by prescribing some folic acid, which is a vitamin which is often taken alongside the methotrexate to help prevent some of the side effects.
Dr. Irwin Lim
Over many decades, it’s proven to be a very effective agent. Yes, it does have a range of side effects for some people but the majority of people do seem to tolerate it quite well.
Initial GP visit
Key questions & history taking
Piecing the symptoms together
Referral to rheumatologist
Visiting Physio or GP
What is a rheumatologist?
Preparing for first consultation
Questions rheumatologists will ask
Tests rheumatologists may conduct
Your online research
Rheumatologists can help
Tips and suggestions
Living well with arthritis
Next steps after diagnosis
Reaction to diagnosis
Finding a supportive environment
Working to achieve your goals
Working with your rheumatologist
Developing a working relationship
Personalising treatment plans
Lifestyle management sleep & smoking
Lifestyle management exercise
What is adherence
Finding the right treatment
Understanding side effects
Side effects vs benefits
Risk of avoiding medications
Importance of monitoring side effects
Considering the immune system
Introduction to methotrexate
Methotrexate compared with chemotherapy
Methotrexate early side effects
Introduction to biological treatment
Ankylosing spondylitis & biologics
Moving to biological treatment
Biologics are they for you?
Finding the best biological treatment
Treatment disease modifying drugs
Other treatment options biologics