Long term side effect of MTX | Arthritis Information

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After several years of taking methotrexate with good results my wife became very short of breath after mild exertion.  The emergency room physician told her to stop taking methotrexate and the problem got no worse.  Unfortunately after nine months it has gotten only slightly better.

Some medical studies seem to show a few patients do develope serious lung problems which may or may not clear up.  In my wife's case she was also developing memory problems which have cleared up somewhat.  This apparently is not uncommon when large doses of MTX are used in chemo.  The moral would seem to be to pay attention to any unusual developments.  They could be serious.

Thank you for the warning Bill. I appreciate you sharing that with our group. We have many members who are on Methotrexate and who have been for extended periods of time at high doses for RA; myself included.

I hope your wife's problems continue to improve over time.

I hope they do, too, Bill. As one who just started taking MTX about 3 1/2 months ago, I've been more concerned about it helping me than in what it does to me.

How is her RA doing, now that she's off the MTX? Did it slow down the progression of her disease?

It's so hard to know what is the effect of the disease, and what is the effect of the medicine.

Thank you for telling us!


Thanks for telling us.  I am very worried about long disease with metho.  What other long-term problems have people had on this medicine?OMG, I have only been on MTX for one year (15mg/week). I have been
having shortness of breath and memory problems. I have asthma, too, so
my Pulmonary Dr. thinks that's the cause. I guess when I go back to my RD,
I really need to see if they can switch me off the MTX to something else.
Hope you wife is doing better.

If you don't mind, what does was your wife taking?It is always good to be kept up to date on other peoples experiences with meds. I think alot of us here know more than many of the doctors do at times!

I was a bit paranoid about having to take mtx again, but I have had a pnemonia vaccination prior to starting the drug, so here's hoping! (And I'm probably going overboard on the hand-washing, so I don't pick up germs.)

But for all that, the pros vastly outweighed the cons, because the mtx put me into remission, which lasted nearly 5 years!!  (I have reactive arthritis, not RA).

I think that is the general idea, the benefits typically out weigh the risks.
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