Methotrexate
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I take 12.5mg of methotrexate per week for rheumatoid arthritis. I also take 1mg of folic acid every day except on the day I take the methotrexate and the day after. In the fall I also take a multi vitiman which contains 0.4mg of folic acid. Is that to much folic acid to take and can it cause the methotrexate not to work as well? Should I also not take it on the day of the methotrexate and the day after? |
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Folic acid supplementation should not effect MTX. I do not ask patients to stop Folic acid on the days they take MTX, although some rheumatologists do. I frequently increase folic acid above 1 mg per day to reduce side effects such as mouth ulcers. |
Last update: 07:09 PM Thursday, April 5, 2007
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Author:
Alan Matsumoto, M.D.
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