folic acid and methrotrexate

wiltshiregirl

Hi, do you know if I can take my dose of methrotrexate tonight.as I think I have, by mistake taken a folic acid tablet this morning? Any advise would be appriciated.

mistywillow

wiltshiregirl wrote:

Hi, do you know if I can take my dose of methrotrexate tonight.as I have, by mistake taken a folic acid tablet this morning? Any advise would be appriciated.

Hi Wiltshiregirl
i believe that folic acid is to protect against some of the side effects of mxt so best not taken on the same day as it may reduce the efficacy of mxt. I don't know if you are able to take your mxt tomorrow instead. If you know that you can take it a day late then it may be better to do that. if unsure about taking it late then contacting NHS direct or maybe someone on the helpline here would be sensible

Gill

colinone

Hi wiltshiregirl
I was told do not take it on the same day if you just give the GP a ring they will tell you if its safe or not. just ask to speak to one of the doctors.
Colin

wiltshiregirl

Thank you for your quick responses. My GP surgery is closed now. Ive posted on the helpline forum. The problem is I think ive taken the Folic acid tablet this morning, but Im not sure...

ichabod6

It's no big deal.
Take the methotrexate tomorrow and recommence
the folic acid on the next day. One day's alteration
to your schedule should not make any significant
difference to your condition.

munglebungle

wiltshiregirl wrote:

Hi, do you know if I can take my dose of methrotrexate tonight.as I think I have, by mistake taken a folic acid tablet this morning? Any advise would be appriciated.

Sorry nothing to do with your question but;

I thought i was reading my own profile when i read yours, 44, lives in Wiltshire, no children and a receptionist. Wow there must be two of us.

Where in Wiltshire are you?

My profile is exactly the same and i was diagnosed with RA in 2008.

Regards

Tracy

jackie1955

wiltshiregirl wrote:

Hi, do you know if I can take my dose of methrotrexate tonight.as I think I have, by mistake taken a folic acid tablet this morning? Any advise would be appriciated.

I was counselled only last week about MTX and the nurse actually told me to take my Folic Acid tablet every day at breakfast.
Then have my MTX at teatime - as there were several hours in between she said it would make no difference and also meant I wouldn't have to worry about leaving the folic acid off on one day every week!

Jackiex

livinglegend

Hi Jackie

Just a thought. Have you considered that if you take your MTX at teatime, then your next folic acid at breakfast next day, you only get 14 hours help, rather than the 24 hours which is normal.


Joseph 8)

jackie1955

Hi Joseph,

Oh! Now I'm really confused because surely the nurse would be advising me how to take the drugs to give the optimum effect!

I will ask when I go back this week :?

Jackie x

brian35

I was advised to take methotrexate on a Wednesday evening and folic acid on a Sunday morning i.e halfway between the next MTX dose.

livinglegend

jackie1955 wrote:

Hi Joseph,

Oh! Now I'm really confused because surely the nurse would be advising me how to take the drugs to give the optimum effect!

I will ask when I go back this week :?

Jackie x

Hi Jackie

Googling sites, I found several reports that stated there seems to be as many combinations as there are Rheumy Departments. So, the whole system, including you and I, are confused. I would therefore suggest that you follow what you are told when you go back this week.


I have found a leaflet at www.npsa.nhs.uk/EasySiteWeb/GatewayLink.aspx?alId=1582 which may or probably not help.

Joseph 8)