Healthy foods for arthritis
Obesity, diabetes and history of hepatitis B or C are factors that have been suggested but not confirmed to increase methotrexate hepatotoxicity. healthy foods for arthritis Pain shoulder neck. Salicylates (and other NSAIDs) and trimethoprim (Bactrim, Septra) block the renal excretion of methotrexate and leads to higher serum levels and potential toxicity. If alternatives exist, concomitant use of methotrexate and trimethoprim is to be avoided. NSAIDs and methotrexate are often used together, but methotrexate toxicity monitoring should be done more frequently when adding or changing NSAIDS while on methotrexate therapy. healthy foods for arthritis Causes of chest pain. Usual Time to Maximal Effect: The onset of action is 4 to 6 weeks, with 70% of patients having some response. A trial of 3 to 6 months is suggested. Side Effects: Fortunately the most serious complications of methotrexate therapy: hepatic cirrhosis, interstitial pneumonitis and severe myelosuppression are rare. healthy foods for arthritis Atypical face pain. Stomatitis, mild alopecia and GI upset may occur and are related to folic acid antagonism and can be improved with folic acid supplementation. Folic acid 1mg daily has been shown not to diminish the efficacy of methotrexate and is routinely given. Before starting methotrexate, baseline studies should include complete blood count, liver chemistries, serum creatinine, hepatitis B and C serologies and chest radiography. Routine toxicity monitoring should include a CBC, liver profile, serum albumin and serum creatinine every 4-8 weeks. Hepatotoxicity has not been significant if patients with pre-existing liver disease, alcohol abuse, or hepatic dysfunction are excluded from treatment. Patients are instructed to stop all alcohol containing beverages. Baseline or surveillance liver biopsies are not indicated unless pre-existing liver disease is suspected. Elevated liver enzymes do not directly correlate with toxicity but therapy should stop if transaminases are elevated to 3 times the upper limit of normal.
Healthy foods for arthritis
Back || Pain shoulder neck || Pain-scales || Marijuana arthritis