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More methotrexate ?'s

Question:

I realize that methotrexate questions have been popular in this newsgroup recently, so I hope you don’t mind if I post a few more… In regards to the injectable form of methotrexate, I was wondering if you had to go back to your doc to get the shot, or if you were offered the option of doing it yourself.   Also I was wondering how much of an improvement people experienced with their skin psoriasis when they take methotrexate for PA, and if people had noticed any improvement in their nails as well… Thanks a bunch in advance!!!!   Krista

Response:

I take mtx orally, and have for about 3 years now.  I have always considered the PA to be the more important reason to take it, as it really affects my mobility and ability to function in the world, but as a nice side benefit, my P has almost completely cleared as well (for the first time in about 30 years…).  I actually have my hair combed back off my forehead now (would never dare to do that before), and have only the smallest of little spots of it here and there to remind me that if I ever stop the mtx, it will be back in no time.  And yes, the nails improved as well… I actually have a complete set of 10 that look normal at a time now (used to be at least 2 or 3 from each hand would be doing "their own thing"). (don’t know the percentage, but I used to have it all over… still have some scars left, but otherwise mostly clear.)

Response:

  I realize that methotrexate questions have been popular in this   newsgroup   recently, so I hope you don’t mind if I post a few more…   In regards to the injectable form of methotrexate, I was wondering   if you   had to go back to your doc to get the shot, or if you were offered   the   option of doing it yourself.   Also I was wondering how much of an improvement people experienced   with   their skin psoriasis when they take methotrexate for PA, and if   people had   noticed any improvement in their nails as well…   Thanks a bunch in advance!!!!   Krista  Interesting questions.. By making the patient come for the injections – you can ensure that the appropriate monitoring gets done. There is no other reason to insist on it otherwise. Regarding the rash- i would expect the PA rash to improve in the majority. The nail changes may also improve – but thats a slow process. Regards drdoc http://www.aztec.co.za/users/drdoc/

Response:

> In regards to the injectable form of methotrexate, I was wondering if you > had to go back to your doc to get the shot, or if you were offered the > option of doing it yourself.  

Hi Krista, I changed to injectable methotrexate about two months ago; I inject myself every Monday night.  The first time was terrible, now it isn’t so bad but I still don’t like it.  I’m still not sure I’m doing it right, have had a few bruises from this.  Oh yes, it seems I might be doing *slightly* better. Take Care — -Big Z

Response:

>I realize that methotrexate questions have been popular in this newsgroup >recently, so I hope you don’t mind if I post a few more… >In regards to the injectable form of methotrexate, I was wondering if you >had to go back to your doc to get the shot, or if you were offered the >option of doing it yourself.   >Also I was wondering how much of an improvement people experienced with >their skin psoriasis when they take methotrexate for PA, and if people had >noticed any improvement in their nails as well… >Thanks a bunch in advance!!!!   >Krista

Krista, I have RA and take methotrexate by injection (see earlier posting).  I understand from various publications that I’ve read that metho. is VERY effective fighting the symptoms of PA.  Unfortunately, I don’t know anyone personally who has PA and been on metho.  Perhaps you should query your rheumatologist.  Good luck! CKK

Response:

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