hi elcamino, deb, and anyone else...... ok just came home from the rhuemmy visit..... he up'd my mtx! i now will take 8 pills a week and i had a rather long discussion with all my concerns and i will post here his answers but this might be a long one?
ok i asked about the cough thing, and his response was how often and when do i cough, i then said never hehehehehe he looked at me a bit crazy and then i told i was asking for a friend, his response was ~ any question about effects or changes should be brought to the doctors attention. he said if the cough is caused by the mtx the doctor would hear sounds in the lungs and that is why he listens to my lungs each week. he didnt go into real detail with that other then to say my friend should let their doctor know.
i then asked about my conncerns being on mtx the evil drug he laughed and asked me what exactly i was concerned about. i said for starters my liver, his reply was that mtx was safer than most other drugs like motrin i always get that group name mixed up is it nisads ( i know i am wrong with this abrv. but that group of drugs) he feels is worse long term on my liver then mtx.
i also asked about my increase risk to lymphoma on mtx and his response was that he thinks mtx will decrease my risk and it is RA that increases my risk. i noted internet studies and he stated controlling the disease may actually decrease my risk which is elevated for lymphoma but taking the mtx, and of course people with RA on mtx may still get it but so will people with RA not on mtx. he noted studies are just that and often have variables not consistants.
he stated he thinks mtx is successful and safer than uncontrolled RA and it would be his drug of choice. he understood my concerns and told me if i wanted off he would try other treatments but i have agreed to continue on as i am feeling fairly well.
elcamino, i did mention my fatigue and he told me to take it at bedtime on friday and if still tired on sat. to split it half friday night half sat. night. soi felt like a jerk not thinking to take it at night verses day
i cant answer for anyone else here but i am on this journey now tkg a total 20 mg weekly of mtx in hopes on decreasing the prednisone to zero someday.... good luck to everyone i have to trust my doctor for now, hope it doesnt come back to bite me in the butt hehehe ~*yalinda