Is methotrexate discontinued?
Is methotrexate discontinued?
MTX is tapered and discontinued in daily practice in patients with RA using TNFi with concomitant MTX.
What is the best alternative to methotrexate?
In elderly patients with RA who are unable to tolerate methotrexate, the alternatives are hydroxychloroquine or sulfasalazine for mild-to-moderate disease and cyclosporin or leflunomide for severe disease, given in combination with low-dose oral corticosteroids.
Is magnesium safe to take with methotrexate?
Potassium citrate and other forms of citrate (e.g., calcium citrate, magnesium citrate) may be used to prevent kidney stones. These agents work by making the urine less acidic. It may be advisable to avoid these citrate compounds during methotrexate therapy except under medical supervision.
What drugs can you not take with methotrexate?
Some specific NSAIDs that should be avoided while taking methotrexate include:
- Aspirin (Zorprin, Excedrin)
- Bromfenac (Prolensa, Bromday)
- Etodolac (Lodine)
- Fenoprofen (Nalfon)
- Ibuprofen (Advil, Motrin)
- Naproxen (Aleve, Naprosyn)
- Magnesium salicylate (Doan’s)
- Salsalate.
Can you get a flu shot while on methotrexate?
The guidelines suggest that people with a chronic inflammatory condition who take immunosuppressive medications – including methotrexate and various biologic drugs – get the flu shot and pneumococcal vaccines according to the Center for Disease Control and Prevention (CDC) schedule.
Can you just stop taking methotrexate or do you have to taper off?
Myth: You can stop taking methotrexate once you feel better You may feel much better than you did before you started methotrexate: less pain, swelling, morning stiffness or fatigue. If you feel better but still have low disease activity, the ACR’s treatment guidelines recommend against stopping or lowering your dose.
