MTX and low hemoglobin

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Veteran Member

Date Joined May 2006
Total Posts : 1179
   Posted 11/23/2008 8:11 AM (GMT -7)   
hi everyone just a quick post to see if anyone has any knowledge on this one?
my hemoglobin has been hovering around 8 and 9 low enough i guess to have a transfussion which i not yet have had....
i forgot to ask all my docs if i should hold the mtx with the level being so low or if it doesnt matter? 
frankly i have been holding it for so many weeks and last week finally took humira again so i dont know if i should get on the mtx wagon or stay off? 
any insite appreciated. hugs yally turn

Veteran Member

Date Joined Dec 2007
Total Posts : 2113
   Posted 11/23/2008 12:56 PM (GMT -7)   
I think you need to ask your doc. Mine did not get that low but when I became very anemic my doc stopped my NSAIDS but had me stay on mtx.
I hope you feel better soon.

Veteran Member

Date Joined May 2006
Total Posts : 1179
   Posted 11/25/2008 4:41 AM (GMT -7)   
thanks sj! no worries hanging in there happy t day

Regular Member

Date Joined Aug 2006
Total Posts : 142
   Posted 11/25/2008 2:40 PM (GMT -7)   
Hi Yally-
Just wanted to mention that a reaction of mtx is severe aneimia. They generally dont infuse until you are below 8. If this is a chronic thing they should be looking at why, and trying to treat that. I dont know your history but some autoimmune diseases cause anemia (I dont think usually that low) but holding off on you mtx may make it worse. Do you have kidney disease or something that is causing the anemia? They should be giving you something to elevate you HgB. Im sure you feel like crap with it being so low. I would say if he didnt tell you to stop it when he told you your hgb was low then start taking it, unless there was a reason you stopped.
Take care
Dx: UCTD vs autoimmune spondyloarthropathy vs psoriatic arthritis (ie Limbo x5 yrs) Raynaud's, proteinuria
Rx: Plaquenil 400mg, Ultram PRN, Sulfasalazine 2 gram

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