Methotrexate

Question 1

Methotrexate

A-

Answer 1

Drug used to reduce inflammation and reduce symptoms

Question 2

Methotrexate (what do they also need to take)

T -

Answer 2

Once a week same day

Day after take folic acid

Question 3

Methotrexate

H -

Answer 3

before / after food with folic acid day after

Question 4

Methotrexate

E-

Answer 4

3-12 weeks to work

Question 5

Methotrexate

T -

Answer 5

FBC / LFT / U+E + PREGNANCY TEST

every 2 weeks until stabilisedd then every 2months

Question 6

Methotrexate

I -

Answer 6

Loss of apetite / diarrhoea

Nausea

Hair loss

Question 7

Methotrexate

I - important SE to be aware of

Answer 7

mouth ulcers / peeling of skin / SOB / dark coloured urine/poo

=> report to doctor

Question 8

Methotrexate

CI-

Answer 8

If talking about treatment, please mention that you’re taking methotrexate as theres a few contraindications

=> Trimethoprim + NSAIDS (iburprofen) interact with methotrexate

Question 9

Methotrexate

Child bearing age (what to ask this woman about)

What is recommended for a woman wanting to have a child

Answer 9

would you like to talk about reversible long term contraception? This is because methotrexate can be very toxic in conception of a child.

We recomend a 3month washout before attempting conception for a child

Question 10

Methotrexate

What to give a patient so they can take it everywhere

Answer 10

A treatment booklet + alert card can be taken to appointments to let them know you’re taking this drug