Hi Bloom,
Is the plan to transition from ctx to mtx? I was told that the minimum effective dose of mtx is 15 mg/wk. once you're on mtx only, you should feel better. My dosage ranged between 15-20 mg/wk. The only side effect I had was fatigue the day following the dose. For awhile, I was able to reduce the fatigue by halving the dose and take the halfs with breakfast and supper. After I had been on it for three years, the side effect got stronger - was fatigued for 2-3 days. I came off mtx three weeks ago and get my fourth rtx infusion this week. The new plan is to use rtx as needed to sustain remission. I get monthly labs to be sure nothing is going on. Labs are CBC, metabolic panel, sed rate, CRP, and urinalysis.
Hope you can get to less toxic treatments and fewer/no side effects soon.
Pete
dx 1/11
"Every day is a good day. Some are better than others." - unknown
"Take your meds as directed and live your life as fully as you can." - Michael Chacey, MD
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