Mouth Sores--Treatment? | Arthritis Information

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I have taken two weeks of 10 mg MTX (on Sunday nights).  The first week, I felt hungover on Monday, but otherwise seemed fine.  After second dose, I noticed three days later (Wedensday) that I have a mouth sore way back by my molars, sort of what I'd think a mouth sore would look like, maybe 1 cm in diameter, white in the center.  Also my inner lower lip looks bumpy, and I have some things under my tongue, but they may be normal, because I don't look under there a lot!

 
Went for a blood draw today, mentioned the sores.  Nurse checked with the doctor.  She said to up my folic acid to 2 mg/day and rinse with peroxide once a day.  But I heard otherwise in articles I've read online.  I go back to the doctor in less than two weeks.
 
Any thoughts?
 
Thanks!
 
Edited to add: I have a very different sore on my lip, on the inside, that I just noticed tonight.  It is a bright red spot, very symmetrical and more like a cherry angioma or something than a "sore."
 
I am just wondering if this is just going to get worse and worse, since I'm only on 10 mg now, and it's only been 2 weeks...
KatieG2008-04-11 18:30:30Try rinsing your mouth several times a day with warm salt water.That's what I keep reading.  But my doctor said peroxide.  Just one of those things that makes me somewhat nervous about seeing him.  But he seems knowledgeable over all... Don't worry-I think I've heard of using perioxide too- but I'd be afraid I'd swallow it. Also I know the salt water method has always worked for me. I have always been prone to them.Hi Katie, I find hot drinks hurt but they help too.  The salt water is an old but good remedy.  There is a special toothpaste too for people on our sort of meds, it is called BIOTENE.  Give it a try and a mouthwash, strong one helps too.  I get all these and my Dr keeps reverting to 10mg MTX as anymore and the side effects are too much.  Best of luck, Janie.  By the way - WELCOME TO AI -  hi katie when i get mouth sores i use .. Daktarin oral gel..
i find it is really good.. not sure if it can be be got whithout a prescript.
Boney


You could also ask your doctor to prescribe leucovorin.  It's a stronger form of folic acid and if nothing else works, that might be a good option. Jesse882008-04-12 18:31:21
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