Re: Medication Question
Anyone on MTX should be taking at least 1mg of folic acid a day as long as they are on MTX.....don't know why your doc didn't put you on it but that is a HUGE oversight. Folic acid helps to temper the effects of MTX on the blood...I am now on 2 mgs a day and have been as much as 5mgs when the side effects get worse. There is another drug called leucovorin that can be used as well to actually shut down the effects of MTX....you take it several hours after the shot to stop it's action.
Call the doc's office and tell them of your side effects and ask about adding folic acid to the daily drug regime. It will help.
.6mls is not a big dose...equivalent of 15mgs/week....a pretty normal dose. the max. is 25mgs/week and the starting is 7.5mgs so 15 is right in the middle. I'm on 17.5mgs but have my doc's permission to go up to 20 or even 22.5 if needed but I have to let him know and have additional blood work. He does blood work every 4 weeks like clockwork and on the 5th day after my shot to get the best reading on liver function. Been doing this for almost 7 years now and added a biologic drug 3 years ago on top of it.....an IV I get every 4 weeks.
I think if you can get on folic acid, you'll find you have fewer side effects as it's not the dose.