Re: Baseline eye exam and Methotrexate
Thanks, Jenny, for your quick response. My doctor didn't specifically mention having the eye exam before starting. I checked for internet articles and found one that said that only 30-some percent of rheumatologists routinely prescribe a baseline eye exam before Methotrexate, and that the same percentage (high 30's) never do. I'm wondering if my doc wants the baseline in case I have to add something like Plaquenil, or because we'll be discussing switching to a more potent osteoporosis medication at my next visit. I understand some of these can affect the eyes.
I'll be starting with 10 mg (4 pills) MTX. I was also given a prescription for 5 mg daily folic acid. This is more folic acid than most references I've found, although I did find one from a reputable source that recommended this amount. Perhaps my doc has done this due to my usually high likelihood of severe side effects on medications. Regardless, from what I've read, high doses of folic acid aren't dangerous. I'll discuss whether to split the MTX dose with the pharmacist. Thanks for suggesting this.