Methotrexate and Hydroxychloroquine

Posted by mcc @mcc, Jun 10 7:39pm

I have been trying to taper off Methotrexate but I keep getting flare ups after a couple weeks on the drop so my rheumatologist feels I should add Hydroxychloroquine to the mix for 8-12 weeks then try tapering off the methotrexate again with the goal of being completely off the methotrexate but stay on the hydroxychloroquine. I hate having to be on any medication let alone having to add more to the mix and was wondering if anyone on here has had experience with this and if so , your results? Thank you

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My rheumatologist is calling it undifferentiated inflammatory arthritis at this point but thinks it could be rheumatoid arthritis. I wanted to try to get off the methotrexate because of the extreme fatigue and brain fog it’s giving me so he said we could try hydroxychloroquine but I’m concerned over the possible eye damage it can cause. I don’t like taking any drugs as they all seem to have negative side affects but every time I try to taper off I have a flare up so I’m starting to come to terms with the fact that I’ll have to be on something to help alleviate my symptoms.

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@mcc

My rheumatologist is calling it undifferentiated inflammatory arthritis at this point but thinks it could be rheumatoid arthritis. I wanted to try to get off the methotrexate because of the extreme fatigue and brain fog it’s giving me so he said we could try hydroxychloroquine but I’m concerned over the possible eye damage it can cause. I don’t like taking any drugs as they all seem to have negative side affects but every time I try to taper off I have a flare up so I’m starting to come to terms with the fact that I’ll have to be on something to help alleviate my symptoms.

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My wife has been on hydroxychloroquine for 10 to 15 years with no issues. You need to see your eye doctor, I think twice a year. She has RA and with the hydroxychloroquine and 2mg prednisone she has done well. She tried dropping to 1mg and had pain.

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@slkanowitz

It seems your Drs suggestion is a good one as it takes 2-3 months for the hydroxychloroquine to have noticeable effects. Once that drug is controlling your symptoms you will more likely be able to taper off the MTX.
Do you mind sharing what autoimmune disease you have and why you want to go off the MT X?

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I was not told it takes 2-3 months to have effects. I was told when I went on Methotrexate there would be a time period before I would see the effects. Thank you.

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Do you have RA? If so it’s my understanding that once we get damage it can’t be reversed…so I know that I will have to be on some kind of medication for the rest of my life. Hydroxychloroquine has been very very helpful for me along with Xeljanz. We just have to try until we get it right. Knowing that we may have to tweak it as we go. I’ve had to learn to be more flexible and open minded. That’s not easy for me as a control freak

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@adlttl123

Do you have RA? If so it’s my understanding that once we get damage it can’t be reversed…so I know that I will have to be on some kind of medication for the rest of my life. Hydroxychloroquine has been very very helpful for me along with Xeljanz. We just have to try until we get it right. Knowing that we may have to tweak it as we go. I’ve had to learn to be more flexible and open minded. That’s not easy for me as a control freak

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Thank you

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@chzuck

My wife has been on hydroxychloroquine for 10 to 15 years with no issues. You need to see your eye doctor, I think twice a year. She has RA and with the hydroxychloroquine and 2mg prednisone she has done well. She tried dropping to 1mg and had pain.

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Thank you

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@mcc

My rheumatologist is calling it undifferentiated inflammatory arthritis at this point but thinks it could be rheumatoid arthritis. I wanted to try to get off the methotrexate because of the extreme fatigue and brain fog it’s giving me so he said we could try hydroxychloroquine but I’m concerned over the possible eye damage it can cause. I don’t like taking any drugs as they all seem to have negative side affects but every time I try to taper off I have a flare up so I’m starting to come to terms with the fact that I’ll have to be on something to help alleviate my symptoms.

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I have gone off Methotrexate and I am just on 2 Hydroxychloroquine daily I get my eyes tested every 6 months and I have had not problems with it. I started it just one a day for a couple of weeks it seemed ok so I started the second one at night and it is ok. Hope you don’t get any side effects from it. We are all different so good luck with taking it. Let us know how it agrees with you!😊

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@trish807

I have gone off Methotrexate and I am just on 2 Hydroxychloroquine daily I get my eyes tested every 6 months and I have had not problems with it. I started it just one a day for a couple of weeks it seemed ok so I started the second one at night and it is ok. Hope you don’t get any side effects from it. We are all different so good luck with taking it. Let us know how it agrees with you!😊

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Thank you, that is pretty much the goal my rheumatologist is hoping for me. Keep going with my 7.5 mgs methotrexate weekly but add 3 hydroxychloroquine for 3 months then stop the methotrexate and reduce hydroxychloroquine to 2 after a couple months

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@kstar077

I will take embrel if my methetrexate and plaquenel stops working or if my liver is effected by metetrexate and plaquenel.

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Enbrel is very effective and doesn't have the liver impact methotrexate does. Easy to take, and I had zero side effects when I was on it. But after 3 years it lost its effectiveness for me because I needed more and the pre loaded pens are a fixed dosage. So I’m on a biologic now - Remicade - and after tweaking dosage and frequency i am incredibly well controlled and have no side effects.

There’s a magic medicine version of a glass slipper for you. Stick with the journey!

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@pb50

Enbrel is very effective and doesn't have the liver impact methotrexate does. Easy to take, and I had zero side effects when I was on it. But after 3 years it lost its effectiveness for me because I needed more and the pre loaded pens are a fixed dosage. So I’m on a biologic now - Remicade - and after tweaking dosage and frequency i am incredibly well controlled and have no side effects.

There’s a magic medicine version of a glass slipper for you. Stick with the journey!

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As I said I check my blood once a month for liver damage. So far so good. The methotrexate and plaquenil so far is working so I am going to stick with it until it doesn't work anymore. Also Enbrel is using a needle and is $1700 a week. Hopefully I won't need a biologic and the the methotrexiate will not effect my liver and I can continue on it. How expensive is remicade? I will keep posting if things change or I learn more
Thank you for your info

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