Folic Acid - Question | Arthritis Information

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My rheumatologist told me to take my Folic Acid pill about 3 hours after I took my MTX (today).  Stupid me forgot and took the Folic Acid pill this morning and now I took the MTX.  Do you think I could take another Folic Acid pill tonight (1 mg)? 

 

Thanks

You should be fine. Actually, my RD didn't give me any instruction on when to take the folic acid.  I can't imagine that it'll have any major impact on your treatment.

I'd be interested what other MTX folks on the board have to say ...

Flamingo,

It is vitamin B, so it may keep you up later than usual.  I hope you don't have this reaction, but I do sometimes.  I was never told how or when to take mine, just to take 800mg a day! 

Hi, I agree it is a vitamin that is wiped out by the mtx, but not immediately. You can take it everyday, but don't worry about the exact time. LyndaMy Rh advice was to take my MTX (5mgs daily - except for the day I take the MTX) - so that's 5 mgs 6 days per week.  I think there are others on here on the same sort of regime.   I think something to do with the Folic Acid reducing the effectiveness of the MTX if taken on the same day.  Brain fog - I  do know why, but it's just not connecting right now

Yes, it is prescribed, but you have given me something else to talk to the RA about on Thursday, because I have been happily taking it all seven days. 

Thanks Jeanne

I am prescribed to take 1 mg of folic acid daily but with the side effects of the MTX I changed it a little. The day before, the day of and the day after I take 2 mg. I am not having that nausea and headache like I was. I take 17.5 mg of MTX. My doc said " Dont bother on the day you take MTX" it just cancels it anyway.  I am losing some hair so I take 4 mgs day after then one every other day. Not on mTX day.

Jeanne, I think you mean 880mcg, not mg.  That would make more sense to me! 

I started on 1mg/day and now I take 2mg/day (every day, even the day I take the MTX) and I have VERY few, if any side effects any more.  Seems it takes different amounts for different people to help with the side effects.  I take 12.5mg MTX.

The other Jeanne

I do 2mg daily.  Even the day i take mtx.  There have been studies that show it is inconclusive about the folic acid not being effective the day of mtx dosage.  It seems that RD opinions vary on this subject so do whatever it is your doc says to do. 
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