Rheumatology Flashcards

1
Q

How should folic acid be prescribed for patients taking methotrexate?

A

5 mg once weekly, dose to be taken on a different day to methotrexate dose

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2
Q

Methotrexate: Side effects

A
mucositis
myelosuppression
pneumonitis
pulmonary fibrosis
liver fibrosis
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3
Q

Methotrexate: Reproduction

A
  • Women should avoid pregnancy for at least 6 months after treatment has stopped
  • Men using methotrexate need to use effective contraception for at least 6 months after treatment
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4
Q

Methotrexate: Monitoring

A

‘FBC and renal and LFTs before starting treatment and repeated weekly until therapy stabilised, thereafter patients should be monitored every 2-3 months’

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5
Q

Methotrexate: Treatment for toxicity

A

the treatment of choice is folinic acid

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