No Prescription Meds and Arthritis

Methotrexate

No Prescription Meds and Arthritis » Cancer » Methotrexate

Methotrexate is an antimetabolite used to treat certain types of cancer or to control severe psoriasis or rheumatoid arthritis. This medicine works by interfering with cell growth and by suppressing the immune system. Early treatment of rheumatoid arthritis with more aggressive therapy such as methotrexate helps to reduce further joint damage and to preserve joint function. This medicine may also be used to treat other conditions as determined by your doctor including lupus and psoriatic arthritis.

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About Methotrexate:

Product Type: Cancer

Brand name: Methotrexate What is methotrexate? Methotrexate interferes with the growth of certain cells of the body especially cells that reproduce quickly such as cancer cells bone marrow cells and skin cells. Methotrexate is used to treat certain types of cancer of the breast skin head and neck or lung. Methotrexate is also used to treat severe psoriasis and rheumatoid arthritis. Methotrexate is usually given after other medications have been tried without successful treatment of symptoms. Methotrexate may also be used for other purposes not listed in this medication guide. What is the most important information I should know about methotrexate? Methotrexate can cause serious or life-threatening side effects on your liver lungs kidneys and bone marrow (immune system). Do not take this medication in larger amounts or take it for longer than prescribed. Follow the directions on your prescription label. Do not use methotrexate to treat psoriasis or rheumatoid arthritis if you have liver disease (especially if caused by alcoholism) a blood cell or bone marrow disorder or if you are breast-feeding a baby. This medication can cause birth defects in an unborn baby. Do not use methotrexate to treat psoriasis or rheumatoid arthritis if you are pregnant. Use an effective form of birth control whether you are a man or a woman. Tell your doctor if you or your sexual partner become pregnant during treatment. To be sure this medication is not causing harmful effects your blood will need to be tested on a regular basis. Your kidney or liver function may also need to be tested. Do not miss any scheduled appointments. There are many other medicines that can interact with methotrexate. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you. What should I discuss with my healthcare provider before taking methotrexate? Do not use this medication if you are allergic to methotrexate. Do not use methotrexate to treat psoriasis or rheumatoid arthritis if you have: • liver disease; • alcoholism or cirrhosis of the liver; • a blood cell disorder such as anemia (lack of red blood cells) or leukopenia (lack of white blood cells); • a bone marrow disorder; or • if you are breast-feeding a baby. Methotrexate is sometimes used to treat cancer even when patients do have one of the conditions listed above. Your doctor will decide if this treatment is right for you. Before using methotrexate tell your doctor if you are allergic to any drugs or if you have: • kidney disease; • liver disease; • lung disease or pneumonia; • stomach ulcers; • any type of infection; or • if you are receiving radiation treatments. FDA pregnancy category X. Methotrexate can cause birth defects in an unborn baby. Do not use methotrexate to treat psoriasis or rheumatoid arthritis if you are pregnant. Tell your doctor right away if you become pregnant during treatment. Use birth control to prevent pregnancy while you are using methotrexate whether you are a man or a woman. Methotrexate use by either parent may cause birth defects. Before you start taking methotrexate your doctor may want you to have a pregnancy test to make sure you are not pregnant. If you are a man use a condom to keep from causing a pregnancy while you are using methotrexate. Continue using condoms for at least 90 days after your treatment ends. If you are a woman use an effective form of birth control while you are taking methotrexate and for at least one cycle of ovulation after your treatment ends. Do not give this medicine to a child without the advice of a doctor. Older adults may be more likely to have side effects from this medication. How should I take methotrexate? Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts or take it for longer than recommended by your doctor. Follow the directions on your prescription label. You must use the correct dose of methotrexate for your condition. The medication is sometimes taken only once per week. Some people have died after taking methotrexate every day by accident. Ask your doctor if you have any questions about your dose of methotrexate or how often to take it. This medication comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions. It is important to use methotrexate regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely. To be sure this medication is not causing harmful effects your blood will need to be tested on a regular basis. Your kidney or liver function may also need to be tested and you may need an occasional liver biopsy. Do not miss any scheduled appointments. Store methotrexate at room temperature away from moisture and heat. What happens if I miss a dose? Call your doctor if you miss a dose of methotrexate. What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine. An overdose of methotrexate can be fatal. Overdose symptoms may include pale skin easy bruising or bleeding unusual weakness mouth sores nausea vomiting black or bloody stools coughing up blood or vomit that looks like coffee grounds and urinating less than usual or not at all. What should I avoid while taking methotrexate? Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds) especially if you are being treated for psoriasis. Methotrexate can make your skin more sensitive to sunlight and your psoriasis may worsen. Avoid drinking alcohol while taking methotrexate. Methotrexate side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face lips tongue or throat. Stop using methotrexate and call your doctor at once if you have any of these serious side effects: • dry cough shortness of breath; • diarrhea vomiting white patches or sores inside your mouth or on your lips; • blood in your urine or stools; • urinating less than usual or not at all; • fever chills body aches flu symptoms; • sore throat and headache with a severe blistering peeling and red skin rash; • pale skin easy bruising or bleeding weakness; or • nausea stomach pain low fever loss of appetite dark urine clay-colored stools jaundice (yellowing of the skin or eyes). Less serious side effects may include: • nausea vomiting upset stomach; • dizziness tired feeling; • headache; • bleeding of your gums; or • blurred vision. This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. What other drugs will affect methotrexate? Before taking methotrexate tell your doctor if you are using any of the following drugs: • azathioprine (Imuran); • chloramphenicol (Chloromycetin); • hydroxychloroquine (Plaquenil Quineprox); • retinol tretinoin (Retin-A) isotretinoin (Accutane); • steroids (prednisone and others); • sulfa drugs such as Azulfidine Bactrim or Septra; • phenytoin (Dilantin); • probenecid (Benemid); • tetracycline (Brodspec Panmycin Sumycin Tetracap); • theophylline (Elixophyllin Slo-Bid Theobid Theo-Dur); • gold treatments such as auranofin (Ridura) or aurothioglucose (Solganol); • oral diabetes medications such as acetohexamide (Dymelor) chlorpropamide (Diabinese) glipizide (Glucotrol) glimepiride (Amaryl) or tolbutamide (Orinase); • penicillin antibiotic such as ampicillin (Principen) amoxicillin (Amoxil Trimox) carbenicillin (Geocillin) cloxacillin (Cloxapen) dicloxacillin (Dynapen) nafcillin (Unipen) oxacillin (Bactocill) penicillamine (Cuprimine Depen) or Bee-Pen Pen-Vee K Veetids; • salicylates such as aspirin Disalcid Doan's Pills Dolobid Salflex Tricosal and others; or • NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Motrin Advil) naproxen (Aleve Naprosyn) diclofenac (Voltaren) diflunisal (Dolobid) etodolac (Lodine) flurbiprofen (Ansaid) indomethacin (Indocin) ketoprofen (Orudis) ketorolac (Toradol) mefenamic acid (Ponstel) meloxicam (Mobic) nabumetone (Relafen) piroxicam (Feldene) and others. This list is not complete and there may be other drugs that can interact with methotrexate. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

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No Prescription Meds and Arthritis: Arava (Leflunomide) Arava (Leflunomide) is a pyrimidine synthesis inhibitor used to treat rheumatoid arthritis. This medicine may be used to reduce the signs and symptoms of rheumatoid arthritis slow the development of damage to the joints and to improve physical function. Buy Arava (Leflunomide) and other Arthritis products online at Medstore. About Arava (Leflunomide): Product Type: Arthritis Brand name: Arava Generic name: Leflunomide What is the most important information I should know about Arava? • Arava is in the FDA pregnancy category X. There is an increased risk of birth defects and death of the unborn baby while taking Arava. Do not take this medication if you are pregnant or could become pregnant during treatment. Notify your doctor immediately if you think you have become pregnant during treatment. Birth control must be used during treatment with Arava. Discuss with your doctor the procedure for removing Arava from the body following treatment before becoming pregnant. Without the proper drug elimination procedure it may take up to two years before Arava is at sufficiently low levels in the body so as to reduce the risk of harm to an unborn baby. It is not known whether Arava imposes an increased risk of fetal harm when taken by a man. Men wishing to father a child while taking Arava should discuss their options with their doctor. What is Arava? • Arava affects the immune system and decreases inflammation. • Arava is used to reduce the signs and symptoms of rheumatoid arthritis reduce damage to the joints caused by rheumatoid arthritis and to improve physical function in people with rheumatoid arthritis. • Arava may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Arava? • Before taking Arava tell your doctor if you have liver disease or a history of hepatitis; a history of significant alcohol use; kidney disease; an immune system disease; recently received a live vaccine; poor bone marrow function; or a current or chronic infection. • You may not be able to take Arava or you may require a dosage adjustment or special monitoring during your treatment if you have any of the conditions listed above. • Arava is in the FDA pregnancy category X. There is an increased risk of birth defects and death of the unborn baby while taking Arava. Do not take this medication if you are pregnant or could become pregnant during treatment. Notify your doctor immediately if you think you have become pregnant during treatment. Birth control must be used during treatment with Arava. Discuss with your doctor the procedure for removing Arava from the body following treatment before becoming pregnant. Without the proper drug elimination procedure it may take up to two years before Arava is at sufficiently low levels in the body so as to reduce the risk of harm to an unborn baby. It is not known whether Arava imposes an increased risk of fetal harm when taken by a man. Men wishing to father a child while taking Arava should discuss their options with their doctor. • It is not known whether Arava passes into breast milk. There is a potential for serious side effects in a nursing baby from Arava. Do not take Arava if you are breast-feeding a baby. How should I take Arava? • Take Arava exactly as directed by your doctor. If you do not understand these instructions ask your pharmacist nurse or doctor to explain them to you. • Take each dose with a full glass of water. • Arava can be taken with or without food or milk. • It is important to take Arava regularly to get the most benefit. • Your doctor may want you to have blood tests or other medical evaluations while taking Arava to monitor side effects and progress. • Store Arava at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. If it is almost time for your next dose skip the missed dose and only take your next regularly scheduled dose. Do not take a double dose of this medication unless otherwise directed by your doctor. What happens if I overdose? • Seek emergency medical attention if an overdose is suspected. • Symptoms of a Arava overdose may include diarrhea abdominal pain blood problems and liver problems. What should I avoid while taking Arava? • Discuss with your doctor the use of alcohol while taking Arava. Alcohol and Arava can both be damaging to the liver. • Arava can lower the activity of the immune system making you more susceptible to infection. Avoid contact with people who have colds the flu or other contagious illnesses. In addition do not receive vaccines that contain a live strain of the virus (e.g. live oral polio vaccine) and avoid contact with individuals who have recently been vaccinated with a live virus. What are the possible side effects of Arava? • If you experience any of the following serious side effects stop taking Arava and seek medical treatment or contact your doctor immediately: an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips tongue or face; or hives); changes in liver function (may be detected by blood tests or cause symptoms such as yellowing of the skin or eyes; pale colored stools or dark colored urine; unusual fatigue; or abdominal pain); decreased bone marrow function or blood problems (may be detected by blood tests or cause symptoms such as extreme or unusual fatigue; easy bruising or bleeding; black bloody or tarry stools; fever or chills; or signs of infection such as fever; chills or sore throat); or skin rash; or sores in the mouth. • Other less serious side effects may be more likely to occur. Continue to take Arava and talk to your doctor if you experience headache; increased blood pressure; muscle aches; nausea; diarrhea; or hair loss. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Arava? • Before taking Arava tell your doctor if you are taking any of the following drugs: cholestyramine (Questran Prevalite LoCHOLEST); methotrexate (Rheumatrex); or rifampin (Rifadin Rimactane). • You may not be able to take Arava or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above. • Drugs other than those listed here may also interact with Arava. 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