What Causes Increased Level Of Liver Enzymes While On Methotrexate?
 
                                    
                                    
                                          
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                                           Sat, 18 Feb 2017
                                           
                                        
                                        
                                        
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                                                Sat, 18 Feb 2017
                                                
                                            
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                                                Wed, 15 Mar 2017
                                                
                                                
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                                            Question : I was diagnosed with RA however my blood work came back negative I tried methotrexate but it increased my liver enzymes so I stopped using it. My question is the doctor wants to give me cimzig injections and I would rather take something in pill form so I am not tied down to this doctor for ever getting shots periodicaly. we spoke about some form of medication and he was unsure what would work for me it seems  that I am taking lipitor and toprol and one or two of the mdiications suggested reacts against the toprol or lipitor. is there any oral medication I can take that would not interfere with the mdications I am presently taking  Thank You XXXXXXX Millman                                                                                
                            
                                    Brief Answer:
Leflunomide.
Detailed Answer:
Dear Sir,
Thank you for posting your query on HealthcareMagic,
Well looking into your problem I would like to ask whether your doctor has tried leflunomide , it is a wonderful drug . Cimzia is also good option but thats not oral medication.
Dr. Shruti
                                    
                            Leflunomide.
Detailed Answer:
Dear Sir,
Thank you for posting your query on HealthcareMagic,
Well looking into your problem I would like to ask whether your doctor has tried leflunomide , it is a wonderful drug . Cimzia is also good option but thats not oral medication.
Dr. Shruti
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr.  Remy Koshy
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    What is the difference between RA and osteoarthritis, my doctor said I have RA but I am not so sure, also is there a different type of drugs for each. from what the doctor had mentioned in the past there are loads of drugs for arthritis, my question is I do not want to take injections which he reccommended for cimzia which I am trying to avoid, the reason being is I do not want to be tied down going back to the doctor for an injection for as long as I would be on the cimzia. I find it hard to believe that there are so few oral medications to use for both forms of arthritis, that would not have an adverse affect on the medication I am presently taking TOPROL, LIPITOR, NIASPAN, FLOMAX, OMEPRAZOLE, a baby aspirin and vitamins. You previously wrote back about using leflunomide but looking it up it has some serious adverse affects. Can you suggest other oral drugs for either  form of arthritis that are not as potentially as toxic as methotrexate or the leflunomide, Thank you looking forward to your reply, XXXXXXX Millman. 
                                
                            
                                    Brief Answer:
Follows.
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back.
Well osteoarthritis is degenerative arthritis , and rheumatoid is inflammatory arthritis . Both are different. DMARDS are only used for rheumatoud arthritis . Sulphasalazine and hydroxychloroquine are other drugs that can be used in rheumatoid arthritus . For osteoarthritis , there are no special medicines only supportive care for joint lubrication and exercise will do the trick . All DMARDS do have side effects but your doctor will screen you for all these regularly so there is nothing to worry about that . And since you were on methotrexate , you must be having rheumatoid arthritis not osteoarthritis.
Dr . Shruti
                                    
                            Follows.
Detailed Answer:
Dear XXXXXXX
Thanks for reverting back.
Well osteoarthritis is degenerative arthritis , and rheumatoid is inflammatory arthritis . Both are different. DMARDS are only used for rheumatoud arthritis . Sulphasalazine and hydroxychloroquine are other drugs that can be used in rheumatoid arthritus . For osteoarthritis , there are no special medicines only supportive care for joint lubrication and exercise will do the trick . All DMARDS do have side effects but your doctor will screen you for all these regularly so there is nothing to worry about that . And since you were on methotrexate , you must be having rheumatoid arthritis not osteoarthritis.
Dr . Shruti
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Prasad
                                  
                              
                                         
 
                                    
                                    
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