Methotrexate Counseling
by Georgia James
1. Administration
1.1. Take MTX ONCE a week
1.2. Take Folic Acid NOT on this day
1.3. If overdosed, go to A+E
1.4. Swallow tablets whole- don't crush/chew
1.5. Can dissolve in water- Glass Alert!
2. Lifestyle
2.1. Low Alchol
2.2. Avoid raw/uncooked food
2.3. Avoid pregnancy
2.4. Ensure flu vaccine is taken
3. Other Medicines
3.1. Avoid
3.1.1. Penicillins
3.1.2. NSAIDs
3.1.3. Some PPIs
3.2. Consult Pharmacists before using OTC
4. Shingles/Chickenpox Alert
5. Mental Health
6. Side Effects
6.1. Immediate
6.1.1. Sickness
6.1.2. Diarrhoea
6.1.3. Skin Rash
6.2. 2-3 Weeks
6.2.1. Mouth Ulcers
6.2.2. Hair Loss
6.3. Long Term
6.3.1. Fibrosis
6.3.2. Bone Marrow Damage
6.3.3. Lung Inflammation
6.4. Red Flags
6.4.1. Infections
6.4.2. Jaundice
6.4.3. Black Stools
6.4.4. Chest Pain
6.4.5. Persistent Cough