my dr. and i don't want me to take steroids either. so, after plaquenil did not give me much relief, she added mtx and i have felt better evey since. the mtx has reduced the swelling, so my hands and feet don't hurt like they used to. I still have bad days with them, but it is not constant like it was before the mtx.
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I can't take steroids, either. They tend to cause AVN. Since I have it without ever taking steroids, I sure would never want to take them and make it even worse. The MTX does have side-effects, but I'm doing OK with it. I hope that it works for you.
Just took my second dose of mtx last night (Monday).
Last week i was pretty much fine on Tuesday, terrible fatigue Weds and Thurs, that never really went away. So, my nurse suggested I bump up the folic acid. I'm now taking about 2 mg/day instead of one.
Weird thing this week was that I woke up around 2 am feeling 'wired' - like I'd had a gallon of coffee. Hard time getting back to sleep, and woke up before the alarm. I'm not complaining - I'll take increased energy any time!
No effect yet on joint pain/swelling...but I wouldn't expect that yet.
Pluses: no nausea (yet) Downside: last week's fatigue, dramatic decrease in my alcohol consumption (ok, maybe that's a good thing )
Finally i am seeing and improvement with my painfull joints and i think it is from the methotrexate. Bonita