Can methotrexate and/or hydroxychloroquine make RA worse?

Posted by sheilaray @sheilaray, Mar 28, 2022

I was diagnosed with rheumatoid arthritis about 8 years ago, but am RF negative. I started on hydroxychloroquine and eventually methotrexate in addition. I felt these were helping me. In October 2021, I was diagnosed with breast cancer and had to stop both of these medications before my surgery for infectiion risk reasons. I dreaded the pain I'd feel by doing this, but I didn't have any pain. I was surprised to have no joint stiffness, swelling, or pain at all. About 6 weeks after surgery I was cleared to begin my RA medications again. Within a week, the joint pain and stiffness started again. Now I wonder if the medications are causing the pain, but I can't seem to find anything to confirm that. I'm also starting to wonder if I'm crazy and never had RA? I'm struggling to communicate with my rheumatologist adequately due to some language barriers and very strict office rules that seem to make his staff "short." I'm considering a new rheumatologist, but will have to travel quite far to get to one since the one I see is the only one near me. I just wonder if anyone else had pain that has gotten worse with these RA medications. Thank you!

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@loribmt

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Thank you❤️Yes, I’ve misspelled many times when quickly writing a post then too late discovering that it’s been sent.
I appreciate you giving guidance. Many Thanks. Jill

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You were taking two disease modifying treatments. Such mess help by being in your system long term creating a sustained level. So by six weeks your stores had finally depleted and you were bound to relapse. Once Mayo Clinic had posted the qualities of a rheumatologist we should look for. All I had said to myself then was find me one if he/she exists. Please keep looking till you find one. This is a progressive disease and a lot is being done to help patients if we have a right doctor. Availability of our rheumatologist is very important. Share your concerns with your doctor . Do not be facing serious damage to your joints and bones, pinched nerves etc just because your RA was not treated aggressively or your md was not there when you were in need of advice/care. Know that you can prevent osteoporosis. Take care. Keep hope and faith close to y
Oh.

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It scares me to learn what prednisone has done to you. Would you share what dose you were taking ?
I am taking the lowest dose, 5mg a day, which doctors assure does not really have serious side effects
I am still on Humira and Methrotexate
I am on Medicare and it diez not cover all different biologics
I would like to try cosentyx or others but it will not be covered
For now I only care about feeling better and getting out of the wheelchair inside the house haha
Good luck to everyone !

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I am on hydroxychloroquine for RA. I was diagnosed 6 months ago. When I told my ophthalmologist the drug I was on. He said he wants to see me right away. I will drive 3 hours to see him today. My rheumatologist is a 9 hour round trip drive. I am looking for someone closer. If you have to drive for the best treatment, do it!

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@becsbuddy

Hello @sheilaray . You have a lot going on and, of course, you’re wondering about the medications. I don’t believe that methotrexate and hydroxychloroquine will cause the pain. They are for treatment. There would have been dozens of complaints to the FDA if they made the disease worse. Based on what my neighbor has told me that all of her symptoms went away when she was pregnant, but came back after birth. This may just be the bodies’ way of dealing with one Major issue at a time. And you could be having a flare as your body returns to it’s prior self
Have you checked with a university hospital or major medical center near you? Ask if they have a rheumatoid specialist on hand. I had to do this when no one locally knew what was wrong with me. My husband had to drive me from the hospital to UCHealth, about 1 hour away, during rush hour. It was so worth it!
Can you call around and let me know what you learn?

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Hi Becky, I wanted to share that I was diagnosed with RA after the birth of my fourth child. When I met the Rheumatologist he asked among other questions "Do you have children". I said yes, and I would like more! He laughed and told me your body uses the baby's immune system while in utero. I had felt better then ever before and had no clue why. I thought maybe paying more attention to what I was eating and taking better care of myself but I do believe he's right.

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@patelk2

You were taking two disease modifying treatments. Such mess help by being in your system long term creating a sustained level. So by six weeks your stores had finally depleted and you were bound to relapse. Once Mayo Clinic had posted the qualities of a rheumatologist we should look for. All I had said to myself then was find me one if he/she exists. Please keep looking till you find one. This is a progressive disease and a lot is being done to help patients if we have a right doctor. Availability of our rheumatologist is very important. Share your concerns with your doctor . Do not be facing serious damage to your joints and bones, pinched nerves etc just because your RA was not treated aggressively or your md was not there when you were in need of advice/care. Know that you can prevent osteoporosis. Take care. Keep hope and faith close to y
Oh.

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Can I ask what you're taking for RA? Suggestions are appreciated.

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@kenyalama

Hello RA friends,
I have been taking Humira pen every two weeks and methotrexate eight tablets weekly for my RA, RF borderline. It was out of control. Swelling in every joint, knuckles, knees, tendinitis, periferal neuropathy, it was so painful to type! Attacks of Raynaud’s, Sjogren’s. Vasculitis.
My rheumatologist and neurologist were at odds with my treatment. Finally about a month ago my PCP consulted the rheumatologist in adding Prednisone 5mg daily to my meds regime. I am even allowed to take 10 mg if needed. Docs were reluctant to give me steroids but decided the benefits outweighed the risks in my case.
After one month I feel like something like a miracle has happened. I almost feel in remission. I hope this story is useful for many RA patients dealing with unsuccessful treatments. It takes a combination of drugs to do the trick. And yes, be prepared for flares. It’s part of the deal. Good luck to all from my heart
Anny Rapoport

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Hi! Are you still on Humira after your cancer treatment? I'm curious because I stopped Humira after breast cancer/lymph node removal and my RA is not good.

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Interestingly enough my RA doctor was the one who started alerting me to cancer. My inflammation levels were very high on my blood tests and I kept saying I didn't feel like I was in a flair. Thank God!

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The Kineret and colchicine with 5 mg prednisone has done wonders for my husband of 40 years!!!! Life is good again. Pseudo foot and pseudo RA. 67 years young!!

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@ollie2018

The Kineret and colchicine with 5 mg prednisone has done wonders for my husband of 40 years!!!! Life is good again. Pseudo foot and pseudo RA. 67 years young!!

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Pseudo gout. Sorry I need to proofread!!!’

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