i was on Methotrexate pills for 5 years. I also felt nausea when I first started. It went away. I stopped taking it because it stopped working and my hair started to fall out. I am now on Orencia infusion every 4 weeks, I have been on this for 3 years. So far I am doing well. Still have days of fatigue and sometimes a bit of pain.

I’ve been newly diagnosed as well ( june 2019) and use methotrexate. The injection scared me at first but I’m getting use to it now. I feel nauseous after the injection and sometimes it carries on to the next day with headaches and brain fog and some weeks I feel okay. I’m also on Leflunomine which works well but can hurt my stomach, I can only handle 1/2 a dose.
Take care and good luck

I had some hair loss

If you do experience side effects, it helps to take it at night. That way, you sleep off the worst of the effects. For me, the side effects were reduced after several weeks, and are very manageable. Each person reacts differently. I hope it works for you.

Metho... working great for me. Within 1 week started to have less pain, in hands. I also take folic acid and nabumetone. Only side effect of metho... was a little constipation.