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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Side Effects Ofprednisone And Methatrexatate For RA ?

I have RA taking 5-10 mg prednisone daily and 5 21/2 mg methatrexatate for last 5 yrs. I am concerned about the long term effects of these meds. My RA dr. Does not want to discuss change or seem concerned. I am experiencing numbness and tingling in hands and intestinal difficulty. Low energy. Brain fog and require lots of sleep latley. All unlike me unusual. Have discussed with primary and are having a thyroid 3reverse and 4 lab in AM. Regular thyroid labs are negative. Need someone concerned to advise about long term side effects of meds and if any concerns are connected. I will see Gastrointerolist in 2 wks. Had colonostomy 2 yrs ago. Lots of gas, belching, urgency bowels with movements 5-6 times daily
Tue, 28 Jan 2014
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Orthopaedic Surgeon 's  Response
Hello,

I have studied your case with diligence.

Side effects of prednisolone

Aggression ,agitation ,anxiety ,blurred vision ,decrease in the amount of urine ,dizziness ,or irregular heartbeat or pulse ,headache ,irritability ,mental depression ,mood changes ,nervousness ,noisy, rattling breathing
Numbness or tingling in the arms or legs, pounding in the ears, shortness of breath
Swelling of the fingers, hands, feet, or lower legs, trouble thinking, speaking, or walking.
Troubled breathing at rest, weight gain.

Long term side effects of methotrexate
Liver damage (not reversible).
Lung inflammation or damage.

The use of folate supplements (folic and folinic acid) often are given with methotrexate. These are B vitamins and can decrease side effects during methotrexate treatment.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care
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What Are The Side Effects Ofprednisone And Methatrexatate For RA ?

Hello, I have studied your case with diligence. Side effects of prednisolone Aggression ,agitation ,anxiety ,blurred vision ,decrease in the amount of urine ,dizziness ,or irregular heartbeat or pulse ,headache ,irritability ,mental depression ,mood changes ,nervousness ,noisy, rattling breathing Numbness or tingling in the arms or legs, pounding in the ears, shortness of breath Swelling of the fingers, hands, feet, or lower legs, trouble thinking, speaking, or walking. Troubled breathing at rest, weight gain. Long term side effects of methotrexate Liver damage (not reversible). Lung inflammation or damage. The use of folate supplements (folic and folinic acid) often are given with methotrexate. These are B vitamins and can decrease side effects during methotrexate treatment. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care