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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 1,110 Location: London
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Hi all, just wondering if anyone has suggestions re this. I have been switched to taking folic acid at 1mg per day, apart from methotrexate day, but still feel really sick alot of the time. The consultant said that he can switch me to injections if this doesnt help. He did say that no one should have to put up with feeling like this, so maybe I need to wait to give it time, its methotrexate day today, not taken in yet (putting it off) and fed up being in pain and also having this too. I have spent all day yesterday and most of today feeling nauseus. I had my foot clinic appt today, and was glad to get home. Sorry to whinge, but its so hard to carry on doing everything when feeling even worse than normal. BARBARA
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 714
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Barbara
I can sympathise with the Methotrexate and sickness. I take 17.5 mgs and feel awful for two days after. I think maybe giving the injections a go may be an idea as they are supposed to be easier on the stomach. I know how you feel about not taking it. I reduced my dose by 2.5 mgs last Saturday as I was already feeling rough and did not want to get even worse after the Metho. I did not feel sick at all but I know this is not the answer as my joints have then played up badly all week. I do find that if I take it after dinner at night and then am able to get some sleep, I thenat least loose 8 hours (hopefully) of feeling awful.
It is a viscious circle with RA and medication. Whinge all you like as we can all sympathise.
I hope that things settle down for you soon.
Take care
Jackie xx
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 1,110 Location: London
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Hi Jackie, have just taken half the dose, I cant cope with the full lot tonight x BARBARA
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Joined: 12/3/2009 Posts: 3,157 Location: Huddersfield
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Hi Barbara,
I agree with Jackie, give the injections a try. Lots of people on here have switched from oral mtx to injections because of intolerable side effects and most find that the injections are much easier to tolerate. I take my mtx on a Monday evening and invariably feel sick for the next few hours but I am fine by the next day. Like your consultant says, you do not have to put up with feeling so dreadful so ask for the injections.
Love, Doreen xx
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Rank: Advanced Member  Groups: Registered
Joined: 7/6/2011 Posts: 65
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Hi Barbara,
I remember you saying you were feeling very sick in an e-mail a few months back- was it decided it was the MTX then?
The injections are supposed to be much better in that department- my rheumy has mentioned this to me a few times..
Give it a try!
I was always taking less than I should have been......but don't follow my naughty habits!
LOL
Love,
Amanda
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Joined: 4/20/2010 Posts: 1,749 Location: Somerset
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Hi Barbara
How horrible, and yes it is awful when you feel soo sick. I have just started Humira and that is physically making me sick. It is really miserable.
I certainly would try the injections - you have nothing to lose. On the phone on Monday
Rose
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 1,110 Location: London
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Thank you for your replies, it helps to know others have the same problems, otherwise you feel like you are always complaining at appointments. Doreen, I do take it in the evenings, around 7-8pm and am ok until the following morning, then it begins!! Amanda, yes, it was a possibility that the mtx was responsible previously, but now, I feel it can only be that. So fingers crossed for September Rose, sorry that the humira is having similar affects for you, I didnt realise that the anti-TNF drugs did that too, oh joy!!! There was also talk of changing the drug altogether, but no mention of what that would be. Will call for a gp appt on Monday too BARBARA
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Joined: 12/3/2009 Posts: 3,006 Location: Timperley
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Hi Barb
So sorry you are having such a rough time. I switched to mtx injections because of the constant sickness and, as the saying goes, haven't looked back. Not only has the sickness gone, but the injections are easy-peasy and I don't worry about being sick any more.
Please consider this - it certainly worked for me.
Much love
Jeanxxxx
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 1,110 Location: London
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Thanks Jean, I did ask about the injections, but as usual, its not up to me. He said he would wait to see if any improvement from the extra folic acid. So, its a waiting game again. At my visit in April we were considering anti-TNF, now thats been forgotten, I give up!!! BARBARA
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Joined: 12/3/2009 Posts: 3,006 Location: Timperley
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I don't understand this at all Barbs. Surely it's very easy to change from tablets to injections? Dr Vas rang the pharmacist whilst I was with him and sorted it out - took all of 1 minute. Maybe it's something to do with cost - could be that injections cost more. If so, it's not fair. I don't know what to suggest. I have always been told that the effect of mtx is reduced when you take folic acid daily. Have you thought about ringing the NRAS helpline. Take care Barb keep plugging away at your GP and consultant - it's all you can do for the moment. Much love xx
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Joined: 12/3/2009 Posts: 3,157 Location: Huddersfield
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It probably is all due to cost Jean because about 5 years ago when I saw Prof Emery he recommended that I go on mtx injections. But in Huddersfield there was a waiting list due to the cost of delivery (!) but I could go to the hospital every week to have it there. Needless to say I politely declined.
It's so unfair Barbara that you have to put up with all the nausea, keep pushing for the injections.
Doreen xx
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Joined: 12/4/2009 Posts: 52 Location: northern ireland
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Hi Barbara do you take pain killers i was able to take pain killers at the start of my R.A 3 years ago up to this year now if i take tramadol and c/o codomol i feel so sick and also feel like i have a bad hang over for two days after i take it not that i know much about hang overs lately
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Joined: 12/4/2009 Posts: 2,127 Location: Thornton Cleveleys
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Hi Barbara Our area only do MTX by injection if its done in clinic, like Doreen's, perhaps your area are similar. I take Folic acid 5mg 6 days a week and have done so since first starting MTX 8/9 years ago. Although only on a low dose restart of 7.5mg MTX I was still told to stick with the same dose of folic acid. I guess I have been fortunate as I have never had the nausea problem! You can split the dose into three smaller ones over a 24 hour period and this might be a little easier on the stomach, especially if followed with a couple of ginger biscuits but avoid hot drinks for a couple of hours (can't remember why  ), seems to work for me! Good luck Barbara Lyn x
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Joined: 12/3/2009 Posts: 3,006 Location: Timperley
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Being thick, I hadn't realised that it was the cost of delivering the drug which caused the problem. If GP's were allowed to access the mtx injectable, maybe we could pick it up from the surgery or have the injections there. I will ask Dr S when I see him next week what the protocols are on this - unless NRAS can help here? It seems insane that each HA has different guidelines.
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Joined: 9/5/2010 Posts: 364 Location: mid glamorgan
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Hi Barbara Just to say, I hope your feeling a bit better, I swapped to mtx injections because the tablets made me very sick and awful headaches..I still get a bit nauseus but my GP prescribed domperidone to help. Dont give up, keep on until you get the treatment you deserve! Thinking of you Love Ceri xx
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Hi It does seem unfair that some places will deliver the mtx injections and others won't. Mike my husband is now on injectable mtx for psoriatic arthritis and his come from bupa via the nhs. My brother is on them as well and his come from another private company but for the nhs, so it sounds like each trust has it's own way of doing this.
Barbara hopefully the folic acid increase may help, i feel sickly and have some indigestion for a couple of days after but my rheummy nurse is reluctant at the moment to put me on injections, as she says it doesn't always make that much difference. I do take a stomach protector tablet, lansoprazole, and my gp advised me to take one of those before the meal, when i take the mtx as well as one daily and that does help. I have to be careful what i eat for a couple of days after as well, I can't eat fish at all during that time or i am actually sick!
Bevxx
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Joined: 10/19/2009 Posts: 78
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Hi BarbieGirl, I'm sorry to hear that you are still playing a waiting game with regards to your medication. April does seem like a long time ago doesn't it According to the girls here on the helpline they seem to think that not only is there a bit of a post code lottery on the availability of MTX as an injection but also an extra post code lottery in relation to specific doctors and their thoughts on the subject (possibly cost related). Some hospitals seem to only offer the pills and never mention injections at all - it is only when patients read up on the subject and go back to an appointment armed with information that the subject comes up and injections are discussed as an option. It sounds like you are trying a new routine for now, which hopefully will work for you. If it doesn't then at least you are armed with all of the wealth of knowledge that your fellow forumites have given to you. There is definitely a huge number of personal anecdotes, stories and experiences available right here which can only be beneficial in your quest to settle down into a more manageable routine. If you do need any help or specific information on MTX or any other drug then please do call the helpline and the girls there will be only too pleased to point you in the right direction – they are much better informed than me I assure you. Good Luck Katy x
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 3,006 Location: Timperley
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Thanks everyone - that is really helpful. x
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Joined: 4/20/2010 Posts: 153 Location: Kent
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Hi Sorry to hear your med's are upsetting you, this disease is bad enough without having to feel ill from the drugs I also had to switch from oral mtx to mtx by injection, I didn't suffer with sickness, I just kept getting an upset stomach! I also had to stop sulphazine (sorry think I've spelt that wrong), I appear to have a very sensitive stomach now when it comes to taking tablets. I've just started taking Hydroxychloroquine since Thursday, so far Im ok but next week i have to increase the dose, fingers crossed! Its not fair is it, we take something to help us and it causing other problems. Hope you feel better soon Take Care Lou xx I love people who can make you smile even when you do not feel like smiling. x
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 2,237 Location: nr Southampton
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My Gran does injections as she couldnt tollerate the MTX orally and its made the world of difference to her.
Honest!
It means she can have it and really she is so so well on it.
Jenni how to be a velvet bulldoser
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