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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Heart Problems. Treated For TB. Taking Methotrexate. Further?

My mother has heart problems and taking medication ? to help her BP , she is 70 + yrs has had arthritis from 30 years old and is currently taking Methotrexate , being treated for TB (signs seen on Xray and gold test pos) and ARAVA. Her doctor has stabilised her condition but has suggested she TRY new drug Enbrel) .......I feel that it is not the right thing to do !!!!!! Please respond.
Thu, 27 Jun 2013
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Internal Medicine Specialist,  's  Response
Hi,
Thanks for using Healthcaremagic,
Your mother is having Rheumatoid arthritis, High blood pressure, Heart problem and diagnosed with TB and taking anti Tubercular treatment.
To treat Rheumatoid arthritis Methotrexate,leflunomide, or etanercept can be used your doctor is best to know what is best for patients.
All the drugs are used.
leflunomide with antitubercular drug particularly Rifampicin is toxic to liver that may be one of the cause to change the drug.
The new drug can be combined with methotrexate. This is injection to be used once a week.
Please have faith in your treating doctor, we doctors give utmost priority to the patients and take decisions to benefit patients in best ways.
Hope this helps you.
Please take care.
Good Luck.
Dr.Akhilesh Dubey M.D.



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Heart Problems. Treated For TB. Taking Methotrexate. Further?

Hi, Thanks for using Healthcaremagic, Your mother is having Rheumatoid arthritis, High blood pressure, Heart problem and diagnosed with TB and taking anti Tubercular treatment. To treat Rheumatoid arthritis Methotrexate,leflunomide, or etanercept can be used your doctor is best to know what is best for patients. All the drugs are used. leflunomide with antitubercular drug particularly Rifampicin is toxic to liver that may be one of the cause to change the drug. The new drug can be combined with methotrexate. This is injection to be used once a week. Please have faith in your treating doctor, we doctors give utmost priority to the patients and take decisions to benefit patients in best ways. Hope this helps you. Please take care. Good Luck. Dr.Akhilesh Dubey M.D.