Re: Methotrexate and hair loss
I started taking Methotrexate almost four months ago, 12.5 mg a week. My hair was already thin, but now have more scalp than hair. I was mortified. Have since been reading and understand that this side effect, as well as the more immediate ones such as stomach upset, can be greatly lessened by a larger dose of the folic acid supplement you will take daily along with this drug. I had a follow-up appt a few days ago and was told by the PA that you cannot get too much folic acid and increasing the dose, as well as prescribing a much larger dose to be taken about 12 hours after you take your Methotrexate each week, can help to prevent these side effects. Personally, I'm not having much, if any, relief at this low dose and am supplementing with a low dose of prednisone for now. And they increased my folic acid dose to 3 tabs a day. If you can't get too much, I wondered why they didn't just do this from day one. Anyway, if you're concerned about avoiding the hair loss, and who wouldn't be, tell the doctor and ask for the higher dose of folic acid now. Good luck. Hope it gives you relief.