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Hi ,

If possible you might try the injectable MTX, it bypasses the stomach which

eliminates the nausea and I think it actually works better. My new Rheumy

prescribed the 50mg/2ml. MTX is NOT approved for more than one injection per

vial, but my Rheumy feels you can either fill syringes with the dosage and keep

them in the fridge, or make sure you use a new needle each time you fill a

syringe to keep the vial from becoming contaminated. He actually said to me, If

the pharmacist questions the dosage versus the vials, just say you throw the

rest away. I inject 0.6 ml weekly, so I get a lot of weeks from one vial. It is

much cheaper as well. 5 vials were $36.00. My insurance, Care First, decided it

is a medical expense, not a prescription drug.

FYI Methotrexate in MUCH larger dosages is used to abort fetus's that are in the

utopian tubes, so woman of child bearing age should be aware of that possible

side effect.

I hope this helps.

Colleen

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