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Plaquenil VS Methotrexate

A myRAteam Member asked a question 💭
Bay City, MI

Which do you prefer and why? I was prescribed methotrexate in September but I decided to not begin it due to fear of side effects. I have my first appt coming in 9 days with a rheumatolgist and I figure they will want to prescribe me something. The more I read about methotrexate the less comfortable I am with taking it. I have begun to read about plaquenil and it doesn't seem as scary... don't get me wrong the eye problems you can develop are kinda freaking me out... But not as scary as… read more

January 19, 2019
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Answer Summary

Members shared divided experiences when comparing Plaquenil and methotrexate, with many expressing initial fear of methotrexate's side effects... Read more

Members shared divided experiences when comparing Plaquenil and methotrexate, with many expressing initial fear of methotrexate's side effects like nausea, hair loss, and liver concerns, while others worried about Plaquenil's potential eye damage despite ophthalmologists saying problems typically take years to develop. Several members described successful long-term use of methotrexate (some for 15-20 years) with minimal issues when monitored through regular blood work, while others found Plaquenil gentler with mainly digestive side effects, though a few experienced rapid eye changes requiring them to stop the medication within weeks. A recurring theme was that finding the right medication involves trial and error with close doctor supervision, and that the fear of side effects often lessens when weighed against the pain and joint damage of untreated RA, with many members ultimately taking both medications together for better disease control.

A myRAteam Member

I am currently on both. Started on plaquinil in 2017 so been almost 2 years now. Just started methotrexate in december. What scared me about mtx was that its low dose chemo. That scares me. But once you understand why it helps you... it helps because it slaps your immune system to calm the hell down for attacking all the good and bad cells since it doesnt know the difference. Telling your body to chill is its job.

and that mtx is the #1 go to drug for ra. It has years and years of research and a lot of info around the world. So many case studies and a lot of + results for ra.

What else scared me about it is I am only 36 and I havent 100% tossed in the towel of wanting kids yet. I want one. Im now lacking a husband (never had one) but when I was dating someone for thr last two years I was wanting to settle down. Now its back to square one. So on the kids front you have to come off mtx 6 months before trying for a baby. I was so Terrified of mtx to the point ir tears but asking questions in support groups has helped so much!!!

January 24, 2019
A myRAteam Member

I take both with no problem. I also take Meloxicam and folic acid.

January 19, 2019
A myRAteam Member

We do have to come to that place in the LORD.

February 19, 2019
A myRAteam Member

I take both. I am ok

February 17, 2019
A myRAteam Member

I have taken Plaquenil for 3 years because I didn't like the other side affects of methotrexate. But they all have them. With Plaquenil, you need to get an eye exam every year to check for changes in your sight. ( may cause blindness) But I feel it works as well as anything will. I am always in pain, sometimes it is worst than others. From what my doctor told me these 2 drugs are what they normally start you out on, they have been used for a long time. Hope this helps.

January 23, 2019

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