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Rank: Member  Groups: Registered
Joined: 12/19/2012 Posts: 13
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Hi just been diagnosed with RA at aged 48 and  start methotrexate tomorrow already on hydroxychloroquine. Any tips for reducing any possible side affects? Also does anyone benefit from herbal supplements. I do feel let down by NHS in that I have no follow up for 7 months now, not had a DAS score done and guess that this is not normally the case from other comments I have seen. Any tips appreciated. Gill
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 1,689 Location: Durham
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Hello Gill, and a warm welcome to the forum, though I`m sorry you have been diagnosed with RA. I can`t speak for the hydroxychloroquine, but I was on MTX for a time not long after I was diagnosed, seven years ago. I used to take it with my evening meal to minimise any nausea, hoping it would disappear while I was asleep. By and large that worked reasonably well, but the MTX did nothing for my RA, so I was put on leflunomide, having already tried and failed on SLZ. With regard to your follow-up appointment, it seems to vary in different parts of the country. I never waited that long, but I assume you are having fortnightly blood tests for monitoring? I also wonder if you have access to a rheumy nurse, whom you can call if you have a problem? I don`t take any herbal supplements - you could discuss this with your GP perhaps, in case of incompatibility with your meds. Are you taking folic acid? Hope this helps, Kathleen x
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 2,237 Location: nr Southampton
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Hello and welcome Gill I'm jenni 37 this month! Got ra when I was 20/21 ish, hubby, 3 kids etc! Never mind that- what's going on with your lack of appointments? Are you on DMARDS? Are you having blood tests? The trouble is its such a struggle to get appointments some places Here it's 12mnths follow up at least Still, emergency clinics exist as do GPs to have a bit if a poke for you All the best Jenni x how to be a velvet bulldoser
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Rank: Advanced Member
Groups: Registered
Joined: 4/20/2010 Posts: 153 Location: Kent
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Hello Gill A big welcome to the forum. Everyone is very supportive on here, so you will get lots of help & advice. Best wishes with you treatment. Take care Love 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: 6/18/2010 Posts: 351 Location: Herne Bay Kent
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Hi Gill
Welcome to the forum but sorry that you have been diagnosed with RA. Have you been prescribed folic acid as well as Methotrexate as this can help reduce some of the side effects. I always take mine in the evening and then the folic acid the following evening but you will find that everyone is given different advice about this. You should also have regular blood tests when on Methotrexate so you should be being monitored. As already has been said the frequency of appointments varies greatly depending on where you live but I have a RA Specialist nurse who I can contact with any concerns and the NRAS helpline is also very good. Hope the Methotrexate works well for you.
Best Wishes
Sue
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Rank: Advanced Member  Groups: Registered
Joined: 5/28/2012 Posts: 665 Location: Newton Abbot
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Hi Gill - sorry to hear you've been diagnosed, but very warm welcome to the forum. I'm Sylvia, 55, and diagnosed last May. I didn't get a followup appointment with the consultant - in fact I haven't had one since my diagnosis, but despite that my care has been excellent. If you respond well to the HDX and MTX then the specialist nurses will supervise your care. You should be having fortnightly blood tests and if there are any warnings then the nurse will contact you. But if you're not sure then ask about a nurse helpline at your hospital. Don't bother with the GP because they know very little about the day to day issues of RA. Hope the MTX works for you - but it can take up to 3 months to get the full effect - it varies from person to person. I didn't get any side effects - not everyone does, so let's hope you'll be lucky - best wishes - Sylvia xx Be kinder than is necessary because everyone you meet is fighting some kind of battle
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Rank: Advanced Member  Groups: Registered
Joined: 5/7/2012 Posts: 149 Location: S E London
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Hi Gill, I'm also on MTX & Hydroxy, haven't had any nasty side effects from either drug. As Sylvia says the MTX could take a few months to make any improvement but hopefully when it does you will notice a big improvement. Welcome to the site and I look forward to reading more from you in the future. Mary
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Rank: Member  Groups: Registered
Joined: 12/19/2012 Posts: 13
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Thank you for the warm welcome and helpful comments. Yes due to have fortnightly blood tests and I also have folic acid 5mg once a week. I don't have a rheumatology nurse but there is an OT. Good to know follow ups vary around the country. I took the first dose of methotrexate Saturday evening. Sunday I had a background headache and felt a little foggy but if that's all I get than that's fine. Thanks again feels good to know there are fellow RA patients to talk to and share journey. Gill xx
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 838 Location: Nottinghamshire
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Hello Gill
Finally got around to saying Hello.
I was diagnosed with RA May 08 am currently taking MTX and have just started the wonder drug Enbrel, still early days with it but it does seem to be working well.
You asked about herbal supplements, I don't take any but anything that you may consider to take you must check that it is OK while taking MTX.
I went private for my diagnosis (GP totally useless), the consultant put me on his NHS list. He told me that I would see the specialist nurse at the hospital in six weeks time and him again in 12 weeks, all appointments came spot on time. The specialist nurse referred me to the OT and also tho Pysio. After seeing the consultant at 12 weeks I saw him again 12 weeks later. I can't remember what happened after that but when things are OK I normally see him every 6 months. In all that time I have seen him apart from two times when I saw another doctor. All in all I am very pleased with my treatment. I am lucky because I have 3 specialist nurses and on the occasions that I have phoned to say I was struggling I have always been seen by them quickly (usually a few days, a week at the most).
So pleased that you have joined this forum, especially if you haven't got a specialist nurse to phone. You will get alot of information on here about RA, I know we can't replace and cannot advise you about drugs like a specialist nurse could, but we all know and understand what it's like to have this illness and we can tell you our experiences with it. Advice and a listening ear is only a click away.
Keep posting
Paula x
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Rank: Advanced Member  Groups: Registered
Joined: 9/3/2011 Posts: 717 Location: Torbay
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Hi Gill, and welcome to the forum. I'm the same age as you and was diagnosed nearly 2 years ago. My advice with the drugs (I'm on the same combination as you) is to take them with a positive attitude. Our reaction to drugs is as much psychological as physical and if we believe something will make us feel bad it can lead to a self fulfilling prophecy. Everyone responds in their own unique way to drugs and just because someone else has side effects it doesn't mean you will. Having said that if you do suffer any ill effects then speak up because there are lots of alternatives. Are you on steroids now to tide you over? The drugs will probably take some time to work properly so you will need to be patient. This will probably be a difficult time for you and we will be here to support you all the way. Good luck with your treatment and I look forward to hearing more from you in the future xxx
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Rank: Advanced Member  Groups: Registered
Joined: 1/21/2012 Posts: 388 Location: Powys
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hi Gill, Just a brief welcome, hope everything starts working for you soon. It all feels very daunting to begin with, just stay as possitive as you can. Keep us posted, any worries can be discussed here. Hope you feel better soon. Zena xx
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Rank: Advanced Member  Groups: Registered
Joined: 5/28/2012 Posts: 665 Location: Newton Abbot
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Hi Gill - glad your MTX has started out well. It can take up to 3 months before it takes full effect so hang on in there. Look for tiny improvements in the start and hopefully they will build up and before long you will find you're feeling better overall. Just a word about your folic acid - are you taking it every day apart from the one day that you take MTX? It's more than a simple supplement and from discussions on here it appears that the folic helps to avoid anaemia, but it does vary from const to const - guidelines are not totally clear, however it does no harm, so that's good. Keep well - Sylvia xx Be kinder than is necessary because everyone you meet is fighting some kind of battle
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Rank: Member  Groups: Registered
Joined: 12/19/2012 Posts: 13
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Hi all What a wonderful welcoming group on NRAS. All your comments have been helpful and informative and made me realise that care does vary throughout the country. Second dose of methotrexate went well no side affects and depo-medrone injection still working well. glad I joined nras and this forum. First blood tests tomorrow since commencing methotrexate sure they will be fine.
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Rank: Advanced Member  Groups: Registered
Joined: 5/2/2012 Posts: 670 Location: where the sun always shines :o
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 Hello Gill Sorry, I haven't said hello sooner. Waiting for my first knee replacement, 2nd ra related opp - had bunion & hammer toes day surgery last June. Getting used to my new foot I'm 40 years old, diagnosed in 2007 after having my daughter - the most amazing wonderful time in my life with ra. Meds: methtrix, hydro, sulfaz, thyroxine, co-codomal & dic'fenic. Joined the forum when I turned 40 years old, the forum has increased my acceptence of ra, confidence, and knowledge. The people are lovely and offer lots of support.  you be fine Xxx
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Rank: Advanced Member  Groups: Registered
Joined: 5/28/2012 Posts: 665 Location: Newton Abbot
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Hi Gill - how did your next dose go - do you take it on Saturday? hope your mtx continues to produce no side effects - I see you've had a steroid jab - hopefully that has had a big impact on how your joints move. Have you noticed if the swelling has changed? when I had steroids, I shed half a stone in weight, in the first week and it was all fluid, and with that gone my joints moved much more easily. So hopefully you'll notice a lot less pain when your swelling goes down. Best wishes Sylvia x Be kinder than is necessary because everyone you meet is fighting some kind of battle
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 561
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Hi Gill welcome to the forum I'm Sophie 38  x
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Rank: Member  Groups: Registered
Joined: 12/19/2012 Posts: 13
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Hi Sylvia
Yep had three doses methotrexate now - taken Saturday evening. So far so good and bloods all normal. Have to say very little probs with joints at the mo and long may that last! Have you had a follow up yet? You mentioned earlier that you hadn't. Hopefully all is well with you also?
Hi to Sophie thanks for introducing yourself.
Xx
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Rank: Member  Groups: Registered
Joined: 11/26/2012 Posts: 19
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Hi Gill welcome to the forum, im Monique and 46 i started treatment in december and responding well. the people on this site are wonderful and you will find them very reassuring with any issue you have . i take my mtx on a friday evening with a bit of porridge or a bananna and the go to sleep i find this to works for me. i take plaquenil and declofenac too . wishing you well on the mtx and good luck with your bloods xx
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Rank: Advanced Member  Groups: Registered
Joined: 8/25/2010 Posts: 1,289 Location: Buckinghamshire
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hi Gill,
welcome from me. it is such a shock when first diagnosed i went into meltdown and lost over half a stone in my first week of being diagnosed with the stress of it all.
i started on Methotrexate nearly 3 years ago and then 6 months later Hydroxy was added, sadly they didn't work for me so i started on Humira 18 months ago along with the other two drugs.
this combination has worked well for me.
you do have to give Methotrexate a good 3 months to work, hopefully it will do for you as it is the gold standard drug.
keep posting and let us know how you are getting on.
Suzanne
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Rank: Advanced Member  Groups: Registered
Joined: 5/28/2012 Posts: 665 Location: Newton Abbot
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Hi Gill - good news for you - that's excellent. I'm very well atm, thanks for asking - I'm in clinical remission, so am not expecting to see the consultant for quite a while if things carry on as they are. I have follow ups with the specialist nurse and she can tweak my meds if needed, but so far it's all good. She reduced my hydroxy down to one tab per day, about 3 months ago, but I've noticed that I do get slightly more stiffness in my elbows now so I might ask to increase it back to 2 per day, but it's not urgent. I'll wait a bit longer and see how it settles down. You do need loads of patience with RA!! Everything seems to take forever, and I have accepted that I need to take time to let everything happen gently and not get too stressed about things. No doubt, you'll find that with your MTX - it will take several months before you stabilise, but hopefully you won't have pain and the tiredness will get less too. Best wishes - Sylvia xx Be kinder than is necessary because everyone you meet is fighting some kind of battle
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