Methotrexate Safety Checklist! Methotrexate is a powerful DMARD, but safe prescribing requires a strict protocol. Before you write your next prescription, are you following these essential steps? 1. Pre-Treatment Screening (Baseline): Rule out any active infections. Get baseline CBC, LFT, and RFT. 2. Initiating Therapy: Always start with a low test dose (e.g., 5mg) for the first week. Re-evaluate the patient after one week for any immediate side effects before escalating the dose. 3. Monitoring
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The Non-Negotiable Partner for Methotrexate Therapy – Folic Acid! 💊🤝 Prescribing Methotrexate (MTX)? Then you must also prescribe Folic Acid! This isn't just an add-on; it's a critical co-prescription that every doctor must get right. 💡 Why Folic Acid is Essential with MTX: Methotrexate works by inhibiting folate metabolism, which is effective against rapidly dividing cells (like cancer or autoimmune disease cells). However, this can also lead to serious side effects on healthy rapidly dividi
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