Have been on methotrexate a little over 4 months. It is a low dose and Dr. says it sometimes takes 3 or more months. Recently it has broken out on my arms also. Any suggestions
Coal tar shampoo. Let it sit on the plaques for a couple minutes and rinse it off... works to lessen them for me (have a mixed autoimmune thing, get them on my legs.) But more importantly, talk to the doc. A lot of people on methotrexate start out on mtx plus a steroid, and it takes a while to find the balance between the two. It may take more methotrexate (I had 5 dose changes before we found one that helped) or it may take methotrexate and another drug. If your body is good at getting rid of the methotrexate (strong liver, etc.) a very low dose might not be any better than no dose. (And don't worry, some people on super high doses don't get side effects, so if you're not having trouble now you probably won't have trouble at a higher dose.)
I bet you have heard every advice on the planet about treating it-keep it moist, keep it dry, keep it away from fragrances, etc. The reason I strongly suggest talking to the doc is that eczema makes you a bit more prone to other skin stuff and if getting it on your arms is new it could be something other than eczema that looks the same.
Oh good luck. And if you find something else that works tell me!!
- Methotrexate Information for Consumers
- Methotrexate Information for Healthcare Professionals (includes dosage details)
- Side Effects of Methotrexate (detailed)
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