Starting methotrexate injections for seronegative rheumatoid arthritis (RA) can be a significant step. Here are some key points and advice based on my knowledge base:
Key Points
- Administration: Methotrexate injections are typically given once a week, on the same day each week. They come in prefilled, single-dose Show Full Answer
Starting methotrexate injections for seronegative rheumatoid arthritis (RA) can be a significant step. Here are some key points and advice based on my knowledge base:
Key Points:
- Administration: Methotrexate injections are typically given once a week, on the same day each week. They come in prefilled, single-dose autoinjectors (Rasuvo and Otrexup) designed for home use, which makes self-administration easier.
- Side Effects: Common side effects include gastrointestinal issues (nausea, vomiting, diarrhea), mouth sores, and occasional hair loss. These side effects often subside once the medication is stopped.
- Serious Side Effects: Rare but serious side effects include liver, lung, and kidney damage. Regular blood tests to monitor liver function are essential.
- Folic Acid: Taking 1 milligram of folic acid daily can help reduce some side effects like mouth sores and gastrointestinal issues.
- Alcohol and NSAIDs: Avoid alcohol and nonsteroidal anti-inflammatory drugs (NSAIDs) while on methotrexate.
Tips:
- Monitor Side Effects: Keep a close eye on any side effects and report them to your rheumatologist. Adjustments can be made to your treatment plan if necessary.
- Stay Hydrated: Drink plenty of water to help manage side effects and support kidney function.
- Routine Blood Tests: Ensure you have regular blood tests to monitor your liver and kidney function.
- Support Network: Engage with support groups like myRAteam to connect with others who understand life with RA.
Managing Work:
- Plan Around Side Effects: If you experience side effects like fatigue or nausea, try to schedule your injections before days off or lighter workdays.
- Communicate: Inform your employer about your condition and treatment to explore any necessary accommodations.
Starting a new treatment can be daunting, but with careful management and support, you can navigate this effectively.
November 19, 2024
Been on it for a year! No problems!
December 1, 2024
Thank you, I don’t think my doctor is prescribing the pens, I think it is a vial of the medication with a folic acid id supplement. We went with the injections rather than oral because I already have chronic gi issues so lets hope they don’t get worse
November 19, 2024
I have Rasuvo injector pens - I love them as much as one can love a weekly injection of highlighter yellow medicine. It's the easiest injection for me, between this and Orencia. The pills were miserable. I am on folic acid to counteract the gastrointestinal issues with MTX.
November 19, 2024
Stephanie,
It is good that you will be taking the folic acid as well.
May I suggest a med journal, date, time, med, reactions good/bad, that you can share with your Rheumatologist. On average it takes approx 3 months to know if a med is working or not.
Good Luck, let us know how you do.
November 20, 2024