Hi,
Yes, you can plan for a baby 3 months after stopping
Methotrexate. As per the Food and Drug Administration (FDA), Methotrexate is a category X
pregnancy drug which means it can cause teratogenic effects,
abortion, and fetal defects in humans.
It has also been reported to cause impairment of
fertility and menstrual dysfunction in humans, during and for a short period after cessation of therapy.Hence it should never be used in pregnancy. Pregnancy should be avoided for a minimum of 3 months after stopping the treatment or for at least 1 ovulatory cycle after therapy is completed.
In view of the above you can plan for a baby 3 months after stopping Methotrexate. Pregnancy can increase the symptoms of lobular
panniculitis. This may be due to the extra weight the mother is carrying and the pressure it puts on her joints. Because of these increased symptoms, you may need alternate effective but safer medications during pregnancy like
Hydroxychloroquine or
Sulfasalazine for the treatment.
However, in some cases, the symptoms of lobular panniculitis actually improve during pregnancy. As a result, you may need less medication, or even no medication, while pregnant. However, the symptoms typically return after delivery.
Hope these answer your queries. Let me know if I can assist you further. Wishing you a very good health. Kindly rate the answers if you are convinced.
Regards,
Dr. Mohammed Taher Ali