Mtx and sinus infection.

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sjkly
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Date Joined Dec 2007
Total Posts : 2113
   Posted 8/14/2008 7:24 PM (GMT -7)   
This is the first time I have been sick since starting MTX.  I have a sinus infection and have to teach a class tomorrow which means I can't cancel or sneak out for a doctor's appointment which means i can't be seen at least until monday-probably not until next friday.
My question is can I still take my MTX-my rhuemy is not in her office on fridays-and no I would probalby not call and ask her even if she were in she always yells at me when I put off seeing my PCP.
Anyway I though that someone here would have had sinus infections while on mtx-just want to know if I should still take it tomorrow.
Thank you.
Sj

Irish_Mom
Regular Member


Date Joined Apr 2007
Total Posts : 385
   Posted 8/14/2008 7:39 PM (GMT -7)   
When my husband was taking it, the only time he didn't take it was when he quit taking it. Do you take it daily? When he was taking it, he took it once a week all at once.
Terri
 
_________________________________________________________________________________
Breast Cancer at 37; bilateral mastectomy with reconstruction.
Colon resection 2004; Sub-Total colectomy September 2007 for colonic inertia - didn't work.
Son with UC; taking Asacol and 6MP with Prednisone and Rowasa added during flareups. Recently diagnosed with ankylosing spondylitis - now on Humira. Canasa now added due to UP.
Husband with ankylosing spondylitis and psoriatic arthritis.


sjkly
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Date Joined Dec 2007
Total Posts : 2113
   Posted 8/14/2008 7:46 PM (GMT -7)   
I take it once a week-Friday. I don't really want to miss a dose since it helps my arthritis so much.

jhmom
Veteran Member


Date Joined Oct 2004
Total Posts : 2244
   Posted 8/15/2008 11:26 AM (GMT -7)   
I think as long as you aren't running a fever it will be ok, or at least my rheumy has always told me to skip my imuran if I have a fever, I imagine the same would go for MTX. I've had 2 episodes of sinusitis over the last couple of months too and continued to take my meds.
Stacie

Trust in the Lord with all thine heart, and lean not unto thine own understanding ~ Proverbs 3:5 ~

DX: Hashimoto's, Celiac Disease, Raynaud's, Lupus and Sjogrens
RX: Imuran, Plaquenil, Methotrexate, Flexeril, Piroxicam, Levoxyl, Folic Acid, Folgard OS (B12), Davocet (as needed) and magic mouthwash (for mouth sores)


Kangaroo
Regular Member


Date Joined Jul 2008
Total Posts : 117
   Posted 8/15/2008 8:40 PM (GMT -7)   

Dear Sj

It has been some time since i was on Mtx

I only remember having to go off it for surgery, 2 wks. prior to the hospital visit

because it takes 2 wks. for Mtx to leave your body!

I don't recall having to go off it for antibotics though.

Hey do you know the really cool way to treat sinus???

Have you ever done a nose wash???

                  Nose wash method

take 1 small teaspoon of salt and dissolve it in  a teacup of warm water

Make sure that this is not too hot or too salty by putting it lips in it.

the salty taste should be mild

Over the laundry sink( cause it is messy) "drink" the water through your nose!!!!

you may cough and splutter cause you don't know where it is going...... shocked ...

some comes out your mouth , smilewinkgrin the rest you blow out your nose.

Repeat this process until the whole cup of salty water is used.

As you get more experienced,

do it when one nostril is blocked with your finger tongue

This is a fantastic way of keeping those colds away

I do it each morning and night-- turn just like cleaning my teeth

When i have some mucus in the nose, i can do it every hour if i needed

 

This really does work magic, is easy, costs nothing and the whole family can do it too to stay healthy

Give it a go!!!!

Because your problem is advanced, your nose is most probably blocked

So try every 10 minutes, maybe it will take several times to get it unblocked!!!

All the best

Debbie


DebbieLou


SydneyJo
Veteran Member


Date Joined Mar 2006
Total Posts : 1354
   Posted 8/17/2008 9:29 PM (GMT -7)   
Hey Sj.
I Take 25mg of mtx weekly and I was having sinus problems too but continued to take it - it didnt make any difference to me.
I remember posting with babyplace on the arthritis forum in regards to mtx causing sinus problems, I will be mentioning this to my Gastro in a few weeks (I dont see the Rheumy foir a few monhs yet).ill let you know what she says. Jo

elcamino
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Date Joined Sep 2005
Total Posts : 1744
   Posted 8/18/2008 4:12 AM (GMT -7)   

I don't believe you have to stop taking mtx for an illness.  It is not the same thing as the biologics, which you do have to stop taking if you have a virus or infection of any type, especially with a fever.  I take both enbrel and mtx; in the past, when I've been treated for infections, I am always instructed to stop the enbrel, but continue with the mtx, even through tb treatment. 

 

El


Current dx: Rheumatoid Arthritis
Suspected dx: UCTD/Early Lupus
Current Meds: Enbrel, Plaquenil, Methotrexate, nexium, tramadol, nasonex,Tylenol PM
Past Meds: Relafen, Vioxx, Mobic, Voltaren, Sulfasalazine, Entocort, Prednisone, Humira, Reglan, zyrtec, zegerid, aciphex


sjkly
Veteran Member


Date Joined Dec 2007
Total Posts : 2113
   Posted 8/18/2008 2:04 PM (GMT -7)   
Thanks everyone, I took the mtx and although I developed a fever two days later I doubt the mtx is the cause-just the sinus infection.
I can always count on getting good advice on this board,
Sj

Kangaroo
Regular Member


Date Joined Jul 2008
Total Posts : 117
   Posted 8/20/2008 12:31 AM (GMT -7)   

Hi, sj and everyone

Recently I read a post where a fellow rheumy sufferer was told  

going onto MTX with her Biological drug (I think it was Enbrel) gave her protection from infections

What do you think???

Also, I am finding that i am on the verge of infections more readily

since my Biological INFUSION ( MabThera ) 6mths. ago.

Because it is an infusion every 6mths/year, I can't stop the effects of the drug when I am with fever etc.

And i pull through quicker if i rest and don't eat rubbish tongue

 

  


DebbieLou


sjkly
Veteran Member


Date Joined Dec 2007
Total Posts : 2113
   Posted 9/9/2008 3:44 PM (GMT -7)   
I seem to be getting much sicker much more quickly then I used too. I also am not getting better as fast. After ten days on Biaxin I was sick again in two days and had to go back on it. Yuck.

Kangaroo
Regular Member


Date Joined Jul 2008
Total Posts : 117
   Posted 9/9/2008 10:54 PM (GMT -7)   
Hi Sj
 
So sorry you are getting sick, it's a fine line we tread with our immune system dealing with sickness. I still think the nose wash ( recipe above ) is magic for keeping sinus and throat problems developing into bronchial and lung problems.
 
I saw you on another post scared of MX.
I felt that way to begin with as the rheumy made such a big deal over it. But when it kicked in with the benefits I found there aren't that many side effects and hey, you are feeling heaps better, so it is a balance. But an infection is no walk in the park.
 
Tell me. what were you on before MX when you didn't get so sick? MTX like all the drugs for Rheumatoid, increase the risk to infection
 
Maybe this infection reaction is only temporary. In any case let your rheumy know the trouble you are having so he can assess what he is going to do, ie., if anything needs to be done. He may try something else other than MX, there are many treatments out there if they don't agree with you, i have tried quite a few.


Hope you're feel better soon and this upset goes away.

Debbie


DebbieLou

Post Edited (Kangaroo) : 9/10/2008 1:40:50 AM (GMT-6)


momto3
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Date Joined Nov 2006
Total Posts : 1331
   Posted 9/10/2008 9:14 AM (GMT -7)   

Sj,

 

I have always taken my MTX, even with a cold etc. I'm sorry you have a sinus infection..someone gave a good idea about a rinse.  After my sinus surgery that is what I used with my machine, the salt and warm water..there is also a saline nose spray that is really good too.  With the MTX our bodies just don't heal as quickly as they should sad


sjkly
Veteran Member


Date Joined Dec 2007
Total Posts : 2113
   Posted 9/10/2008 3:35 PM (GMT -7)   
Momto3-I am definetly going to use the sinus-saline rinse.
Debbie-before going on mtx I was in semi-remission and only on an NSAID so this is my first exerience with serious immune suppresents. I was terrified of starting mtx but have been on it now since April and the relief I get from it is immence so I am not interested in going off of it just in learning to live with this new problem.
I see my Rhuemy in three weeks and she is awesome so I am sure she will have some advise for me.
Sj

Kangaroo
Regular Member


Date Joined Jul 2008
Total Posts : 117
   Posted 9/10/2008 6:30 PM (GMT -7)   

 

Rah rah for clean beautiful noses!!!!

Debbie


DebbieLou


sjkly
Veteran Member


Date Joined Dec 2007
Total Posts : 2113
   Posted 9/29/2008 7:28 PM (GMT -7)   
I see I started this post on 8/14-it is now 9/28 I have been on three different cources of antibiotics-I have been ordered to stop the mtx until I am symptom free for at least 72 hours-then the orders got changed to until my rhuemy has cleared me to take it. I still have an infection (according to my pcp who I saw today).
And, now have not had mtx for two weeks so I look like I have a claw instead of a hand and my knee bugs me.
I want my mtx back-and I want to stop feeling sick. I am just whining tonight.
Sj

momto3
Veteran Member


Date Joined Nov 2006
Total Posts : 1331
   Posted 9/30/2008 7:03 AM (GMT -7)   
Sj...are you sure your sinus infection is related to the MTX? The reason why I ask is, I had a sinus infection back in 2005, and when they did the CT Scan, all of my passages were covered with it, it was that severe, and I wasn't on MTX. I ended up having sinus surgery to get rid of it sad My ruptured ear drum was a result of my sinus infection gone horribly wrong! Even back then my immune system was starting to get out of whack, so I just thought maybe it is your immune system and not really the MTX? Sorry you are dealing with this! Have you visited an ENT?

sjkly
Veteran Member


Date Joined Dec 2007
Total Posts : 2113
   Posted 9/30/2008 5:50 PM (GMT -7)   
Momto3-my sinus infections have always been related to my immune system being completely wacky. When I first developed RA I had one on and off for four months. This is the first time I had one that did not go away while on antibiotics.
I have been to an ENT but not for years.
I am not sure its related to the mtx as I am also on Singulair, flonase and plaq all of which suppress the immune system. Singulair lists increased risk of sinus infections as a side effect as well.
My Rhuemy is taking this seriously though and concured with the other doc that I can't take mtx until the infection is gone and they can get some blood work that shows I actually have functioning white cells.
I feel better today though and this last doc I saw was great-I am going to ask to switch doctors within the practice and keep her.
Mostly my last post was whining because my joints aren't liking this med holiday or the infection.
Sj
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