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Thread: MTX without prednisone

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    maria garcia's Avatar
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    Default MTX without prednisone

    Is anyone taking MTX without prednisone?? My daughter like you guys know, was taking pred 10 mg and 15mg of MTX for two months. Her doctor is tapering her dose of pred. now she is on 5mg and her symptoms are coming back. How long should it take for MTX to start working. Im disappointed bcse I thought the MTX was working bcse her symptoms went away but now I see it was the prednisone all along. Her doctor wanted to keep her on MTX alone and I don't feel it is going to happen.

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    Al's Avatar
    Al
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    Quote Originally Posted by maria garcia View Post
    Is anyone taking MTX without prednisone?? My daughter like you guys know, was taking pred 10 mg and 15mg of MTX for two months. Her doctor is tapering her dose of pred. now she is on 5mg and her symptoms are coming back. How long should it take for MTX to start working. Im disappointed bcse I thought the MTX was working bcse her symptoms went away but now I see it was the prednisone all along. Her doctor wanted to keep her on MTX alone and I don't feel it is going to happen.
    MTX without pred is rather unusual, Maria. Sometimes this regimen is used for arthritis, but rarely for other purposes.

    Al

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    maria garcia's Avatar
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    When MTX starts working why still take prednisone? I think he might have been testing if the MTX was working.

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    gunnyl is offline Registered User
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    My Rheumy is going to start drawing down the cytoxan and move me to Methotrexate starting Friday. I'll talk to her about the process when I meet with her and report back.

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    maria garcia's Avatar
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    Quote Originally Posted by gunnyl View Post
    My Rheumy is going to start drawing down the cytoxan and move me to Methotrexate starting Friday. I'll talk to her about the process when I meet with her and report back.
    Are you still taking prednisone? why are you being switched?

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    gunnyl is offline Registered User
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    I'm in remission according to my Rheumy, she is going to lower the cytoxan and start the methotrexate to let it build up as she lowers the CTX. I am down to 5mg of Prednisone starting this week. Noticing some flaring in my ears this week though. But Cardio dropped the beta blockers and changed my status to as needed so I have more energy now! I'll post Friday and layout the Prendnisone plan with the MTX.

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    pberggren1 is offline Phil Berggren, dx 2003
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    Maria, It all depends on how high dose she was on and for how long. How long has she been on pred and what doses for how long? She may be tapering too fast. What symptoms is she having right now?
    Phil Berggren, dx 2003

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    maria garcia's Avatar
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    Quote Originally Posted by pberggren1 View Post
    Maria, It all depends on how high dose she was on and for how long. How long has she been on pred and what doses for how long? She may be tapering too fast. What symptoms is she having right now?
    10 mg of prednisone for two months before doctor decided to taper. Her symptoms red eyes and stuffed nose. Symptoms cleared after taking pred and Mtx tapering down the prednisone to o from 10mg will take a month. This weekshe is on 5 mg will start 2.5 and 5mg every other day next week. She has a schedule until she reaches 0. She is half way there and her symptoms are the same as before meds, red eyes stuffed nose. She is still taking mtx 15 MG. I don't think MTX has been working though her Anca was alot lower but symptoms only got better with prednisone.

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    pberggren1 is offline Phil Berggren, dx 2003
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    So she went straight from 10 to 5? That seems to fast to me. I would go at least 1mg every 2 weeks until down to 5 then go 1mg per month. That is the fastest I would go. How is her energy level? Any other symptoms besides red eyes and stuffed nose?
    Phil Berggren, dx 2003

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    maria garcia's Avatar
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    Quote Originally Posted by pberggren1 View Post
    So she went straight from 10 to 5? That seems to fast to me. I would go at least 1mg every 2 weeks until down to 5 then go 1mg per month. That is the fastest I would go. How is her energy level? Any other symptoms besides red eyes and stuffed nose?
    10 for a week then 10, 5, 10, 5, for a week then 5 for another straight week them 5, 2.5, 5, 2.5, 5 etc then 2.5 for a week and so on one month to go from 10 to 0. She only took the 10 mg for two months

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