methotrexate

Ulcerative Colitis

Hi – am working with a client who has moderate to severe Ulcerative Colitis, on monthly oral dose of methotrexate and is considering temporarily supplementing her barrier contraception method short term with a hormonal ‘progesterone’ only injection method. She hope it will only be temporary until her condition improves. Does…

5 years ago

55 yo F with Lupus

My client is a 55 yr old female who has been diagnosed with “lupus spectrum” symptoms 4 years ago – her symptoms then included pleural effusion, very high inflammatory markers and pyrexia. Her symptoms rapidly diminished with prednisolone. She wants to wean herself off steroids (at most her dose was…

8 years ago

53 yo F with Seropositive rheumatoid arthritis

Advice please on a client with Seropositive rheumatoid arthritis • Female, age 53, works as PR, height 162 cm & weight 58kg • Pains in the whole body but the most affected areas are her feet, ankle, toes and hands. • Her diagnosis is seropositive rheumatoid arthritis, osteoporosis, hypercholesterolaemia, which…

8 years ago

Methotrexate and methylation issues

I would appreciate some advice regarding a 67 year old client with long standing fatigue and a multitude of health issues, most prominently chronic pain caused by auto-immune arthritis (specifically spondyloarthropy and enthesopathy). Client has been on methotrexate for upwards of 5 years, with concomitant folic acid 5mg taken as…

10 years ago

52 yo M with psoriasis

Help with psoriatic arthritis client on methotrexate My client, a 52 year old male suffers with psoriasis (since his 20s) and psoriatic arthritis (since 2008). There is a familial component (father and sister). He has had asthma and eczema since childhood and has used various inhalers and steroid creams throughout…

10 years ago

Dermatomyositis

A lady has just contacted me, who was diagnosed 18 months ago with a rare auto immune condition called “Dermatomyositis”. I haven’t come across this before. She is currently taking Methotrexate (immunosuppressant), Folic acid (to reduce the side effects of these), Prednisolone, Alendronic acid, Omeprazole and Thryroxine which she wants…

12 years ago