Hi, wondered if any one could advise me. Got diagnosed with tonsillitus this week but feel fine. Doc informed me if i developed a temperature i would need to go to hospital for emergency bloods as am taking methotraxate.
My glands have now come up so not sure if should phone nhs direct or not?

Thanks Katie

hi yes i am on antibiotics. Have been on them since thursday.
Im not too worried as i feel fine its just so confusing what to do. xx

Hi Katie

I have been on Methotrexate many years. The recommendation is that methotrexate is stopped whilst taking antibiotics as the two do interact. Generally to do with poor absorption of the antibiotic due to the toxicity of the mtx and the stomach lining I believe. Whoever prescribed and dispensed your prescription should have made you aware of this at the time.

Emergency bloods unnecessary I would have thought, unless something really unexpected occurs. Unfortunately I think NHS Direct may be unable to advise; in my experience they seem very unaware of RA and accompanying medicines. If you feel okay just stop the mtx and complete the course of antibiotics. If you are on any anti-tnf you will need to stop that too.

Hope this helps and you feel better soon,

Lyn x

well you can take 2 types of Anti bo ics with MTX as i spend a lot of time on them long term .And don,t come off .
but don,t take my word for it . Some you do or most you do

Also double check as g.p s may be well trained but may only have had a few hours training on R.A AND mtx .
My doc has too ring someone as he does not know enough . you might be ok on emermiclm ( spelt wrong bright red pill )
or cyciermisin ( spelt wrong ) yellow pill

christine