Lately I have been nauseous during the day and my intestines feel tender. My rheumatologist said I should only have acid reflux or nausea the day I take it but this is not my case.
I find that I can be nauseous the day after I take it and sometimes 2 days but then again there are weeks when I'm not. My doctor has prescribed something to help the nausea because the Methotrexate helps me so much with my RA that I don't want to stop taking it.
I also take steroids and Arthrotec (which has diclofenac in it) so the doctor thinks it could be that and not the Methotrexate that's causing the nausea and gastric reflux. Are you on any NSAIDs?? My Doctor is weaning me of the Arthrotec and I am now on only one tablet a day but I am starting to suffer with some stiffness and pain in my joints. So I've made an appointment to see the doctor next week as I need either to go back on more Arthrotec or get something else.
Although I say I need something for the pain & stiffness it's nothing like the flare ups I was getting before I started taking Methotrexate. I don't want that to happen again. I have regular blood tests to make sure that it is not doing any damage to my liver etc. My GP is excellent and has even got her secretary to ring me if I've got my dates mixed up because we both know it is very important that you have those tests.
But you are the only person who can decide if you want to stay on Methotrexate. Is the nausea worth it because it's helping your RA? Have you tried any other drug? Will your doctor give you something for the nausea? The only thing that niggles me is you said you have some tenderness. I don't get that from taking Methotrexare. But I have heard that you can get kidney stones with Gout which is sometimes misdiagnosed with RA.
Best of luck & I hope you get things sorted soon.
- Methotrexate Information for Consumers
- Methotrexate Information for Healthcare Professionals (includes dosage details)
- Side Effects of Methotrexate (detailed)
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