Methotrexate is one of the most commonly used drugs to treat RA. However, it can decrease the levels of an important vitamin in your body called folate. Plaquenil tb Plaquenil 200 mg during pregnancy Hydroxychloroquine pruritus Lysosomal acidification chloroquine Plaquenil hydroxychloroquine is an effective medication for autoimmune conditions and malaria that comes with less side effects than other DMARDs. Otrexup methotrexate is the first-choice treatment for many types of cancer and arthritis, but it has many side effects. Protocolled treatment of RA patients at both clinics consisted of MTX 25 mg/week reaching maximum dose within 4–8 weeks, preferably subcutaneously, and HCQ 400 mg/day as soon as feasible after diagnosis. Folic acid 10 mg/week is standard-prescribed to minimize MTX side effects. Hi, I have Raynaud's syndrome since 2010, and in 2014 I had a blood test with the result of positive ANA speckled and ACA, ACA-B. I still don't have thickening skin of the hands/fingers, but my doctors told me I have Limited Systemic Scleroderma, since anti centromere antibody ACA is a very specific scleroderma auto-antibody. Your doctor may suggest you take a folic acid supplement, which is a manufactured form of folate. This leads to a side effect of methotrexate called folate deficiency. Methotrexate and folic acid and plaquenil for lupus Vitamins with plaquenil and pred. DailyStrength, Effects of methotrexate and hydroxychloroquine combination therapy vs. Plaquenil how to takeHydroxychloroquine patient teaching quizletThrombocytopenia plaquenilChloroquine and lc3 Methotrexate is a potent folic acid antagonist and so many doctors prescribe folic acid to help with the side effects of methotrexate, such as nausea. But she has MTHFR and folic acid is toxic for her, hence he switched her to the methylated version, L-5-Methylfolate. Side effects can develop if the methylfolate dose is too high. Methotrexate MTHFR folic acid Lupus Forums at The Lupus Site. Methotrexate and plaquenil - @Kristinsaba1988 - Scleroderma - 20151009.. Methotrexate. A medication for Lupus. The good news These common side effects can often be short-circuited by taking a folic acid supplement. Folic acid is the synthetic form of folate. One study found that rheumatoid arthritis RA patients on methotrexate who took folic acid supplements lowered the risk of GI problems and mouth sores by 79 percent. Folic acid and folinic acid are forms of vitamin B9, which you need to keep your cells dividing and growing normally. Folic acid is also essential in the production of red blood cells. Methotrexate blocks some of the actions of folic acid, which can lead to side effects such as mouth sores, abdominal pain, liver problems, hair loss, and anemia. Sorry to hear that you are having a lot of pain with your RA. I have lupus which mainly affects my joints and skin. I have been taking hydroxychloroquine which is the generic of plaquenil for the past three years. My rheumy recently added Imuran instead of methotrexate. Plaquenil hydroxychloroquine takes up to 3 months to begin working.