Methotrexate (Rheumatoid Arthritis Drug)

In the previous tutorial we introduced antirheumatic drugs called DMARDs. Now let's discuss in greater detail a particular small molecule DMARD called methotrexate. This was originally designed to be an anti-cancer drug, but it was fortuitously found to be effective against rheumatoid arthritis, among other inflammatory diseases. How does this drug work? Let's find out!
Script by Chris Hofmann
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Пікірлер: 177

  • @davidmurphy563
    @davidmurphy5632 жыл бұрын

    A friend of mine suffered from this at the age of 35, it took about a year to get the diagnosis. You could always see he was in permanent pain and then they have him this treatment and it was like night and day - you could see him just relax. The difference was incredible.

  • @austinpowers8550

    @austinpowers8550

    2 жыл бұрын

    I'm 35 and dealing with it now. My left hand is barely functional. Every knuckle and joint started getting growths on it.

  • @davidmurphy563

    @davidmurphy563

    2 жыл бұрын

    @@austinpowers8550 Sorry to hear that, the condition is no joke. I hope you respond just as positively to treatment as my friend did. Best wishes.

  • @chriscruzA35O-9OO

    @chriscruzA35O-9OO

    2 жыл бұрын

    I’m 27 with RA and I’m better than before taking methotrexate

  • @redx11x

    @redx11x

    2 жыл бұрын

    @@austinpowers8550 how are you feeling now?

  • @Quagigitymire

    @Quagigitymire

    2 жыл бұрын

    @@austinpowers8550 I'm about your age and am 10 months into treatment with little result from what my rheumatologist said is the max oral dose prescribed for treatment of RA. I got growths or nodules on my wrists and hands that funking screw up my daily life. Can't make fists, can't open simple screw off lids, and the trigger locking of fingers is extremely, torturously, painful. I feel you man. people hear "arthritis" and instantly assume no big damn deal, as I likely would have myself, prior to actually being cursed with RA.

  • @thecockroach8207
    @thecockroach82072 жыл бұрын

    This video has hardly been out an hour and friends are already sending this to me. Thank you for explaining one of the drugs I take, it feels better to have a stronger understanding of what it is and does.

  • @thevincimotivates
    @thevincimotivates2 жыл бұрын

    Having this at 24 really sucks… praying for all of yall to feel better.

  • @utahnick

    @utahnick

    2 жыл бұрын

    Sorry to hear. I'm 40. Recently diagnosed

  • @Anon.G

    @Anon.G

    Жыл бұрын

    I'm 20 with lupus, not very fun. Probably gonna be on mtx tomorrow

  • @Zajjjj666

    @Zajjjj666

    Ай бұрын

    Bro me too at 24 suffering from this

  • @WakeUpDom

    @WakeUpDom

    9 күн бұрын

    Me three I’m 22

  • @WakeUpDom

    @WakeUpDom

    9 күн бұрын

    But I still smile

  • @catboyedgeworth2469
    @catboyedgeworth24692 жыл бұрын

    i just went to the doctor yesterday because of arthritis symptoms, swelling, crooked fingers, & weak joints. thank you so much for posting this, it really helps me understand the condition and not be so afraid.

  • @KaranSingh-us4ve

    @KaranSingh-us4ve

    5 ай бұрын

    Are you ok right now after taking mtxpg

  • @TheRuddy131990
    @TheRuddy1319902 жыл бұрын

    As a nurse this makes for an amazing review and helps me daily to care for my patients. Thanks professor Dave

  • @mmmsunshine5367
    @mmmsunshine53672 жыл бұрын

    My rheumatologist FINALLY convinced me to start this last year at 50 after decades of RA pain - I cannot believe the difference. When I was prescribed it, I had a few people and the pharmacist recommend that I not take it since it is deadly 😒....glad I didn't listen.

  • @jrojala
    @jrojala2 жыл бұрын

    Very interesting video!! I had methotrexate therapy when I was 28 and again when I was 34 to help manage my autoimmune disease (granulomatosis with polyangiitis). I’m very grateful for the science that made this possible.

  • @marylynne9104
    @marylynne91042 жыл бұрын

    My partner was on Methotrexate, it nearly killed him. Our GP was quick to get him into hospital when his blood test results suddenly went haywire. Meds were changed and his rheumatoid arthritis is much worse now, but at least he’s still alive.

  • @ozdreamtimewizard1329

    @ozdreamtimewizard1329

    2 жыл бұрын

    I’ve been for over 10 years on mtx for psoriatic arthritis. I stopped taking it because it gave me terrible side affects. I feel much better with changing my diet ie not eating nightshade veggies….

  • @eugeniebreida1583

    @eugeniebreida1583

    2 жыл бұрын

    @@ozdreamtimewizard1329 I have PsA and am very interested in any dietary (or other tips) you might be willing to share. Am able to garden etc, active and then rest. Underweight, 63, dx’d at age 59. (stress? toxins? meds? life of insomnia? My diet was always healthy/active. Didn’t realize impacts of stressors . . . )

  • @shivixshivi

    @shivixshivi

    19 күн бұрын

    ​@@ozdreamtimewizard1329 please tell me about psa

  • @ractoon9838
    @ractoon98382 жыл бұрын

    I just want to say thank you so much for these videos, I have ADD and it makes it really hard for me to concentrate on subjects like these, but somehow you've made it easy enough for me to understand. Thank you again, love this channel!

  • @mariafernandasalazar33

    @mariafernandasalazar33

    Жыл бұрын

    I have ADHD and arthritis. Do you have arthritis?

  • @elyshebbachristele9234
    @elyshebbachristele92342 жыл бұрын

    I was diagnosed with RA at the age of four and I started methotrexate at 6 up until 14. Although methotrexate helped me, the side effects were hell. I’m 26 now and it’s interesting to see and understand the science behind this drug that I used to take soo often. Although I don’t see myself ever going back on this drug, I love to see how much it has helped people because this condition is no joke. I wouldn’t wish an RA flare up on no one!

  • @studentaccount4354

    @studentaccount4354

    2 жыл бұрын

    Good for you. I feel like a lot of the drugs prescribed to my relative had such bad side effects that they killed her. The dr was making her take prednisone until her face swelled like a chipmunk and it damaged her lungs giving her clots. She was underweight from all the drugs her bones and teeth deteriorated. The cure is worse than the disease.

  • @chriscruzA35O-9OO

    @chriscruzA35O-9OO

    2 жыл бұрын

    I was in constant chronic pain I’m 27 and methotrexate allopurinol help me a lot the change is bug

  • @elyshebbachristele9234

    @elyshebbachristele9234

    2 жыл бұрын

    @@studentaccount4354 oh no I’m so sorry to hear that. Yes I’m on prednisone right now and my Rheumatologist is trying to get me off it completely. Steroids are something that we really shouldn’t be on long term especially on high doses because it can do more harm then good. Do any other relatives have RA?

  • @elyshebbachristele9234

    @elyshebbachristele9234

    2 жыл бұрын

    @@chriscruzA35O-9OO That chronic pain is really the worst. Waking up in pain and not even being able to get comfortable laying down sucks so much. I’m glad you’ve been able to find what works for you!

  • @chriscruzA35O-9OO

    @chriscruzA35O-9OO

    2 жыл бұрын

    I use take ibuprofen a lot but it started mess with my kidneys i started visit my doc (awesome doctor)and he prescribed hydrocodone and now my kidneys are 100

  • @mickeyfilmer5551
    @mickeyfilmer55512 жыл бұрын

    This was an extremely useful video for us as my wife is currently on methotrexate -one tablet once a week, for a very rare skin rash, that did not respond to any other treatments. Many thanks for this explanation of the drug- it is a big help, and far better than the doctor's "Erm take this anti cancer drug for a year, it will cure you but you need blood tests every week and mri scans every six months !"

  • @KatiCleo
    @KatiCleo7 күн бұрын

    Thank you for explaining how this works, I've been curious about its specifics for a long time, especially since when you get properly sick by something else you are allowed to skip a week of methotrexate to bounce back more easily. I've been taking both methotrexate and hydroxichloroquine for 4 years now since I was diagnosed with RA in early 2020. Whenever the doctors try to wean me off either my symptoms come back unfortunately. But for now I'm not complaining. I'm still young and at least I have my mobility. For the fellow users in the comments: another typical methotrexate side effect (especially if you take more than let's say 20mg per week) is mouth ulcers. They can be a real pain. Also not sure if it's an RA side effect or a methotrexate side effect but you might become more prone to yeast infections as well.

  • @robinson2589
    @robinson25892 ай бұрын

    im going to use this playlist to help me in pharamcy tech training

  • @-triumphgt667
    @-triumphgt6672 жыл бұрын

    Excellent explanation - I will pass on to some of my patients!

  • @cricket700612
    @cricket700612 Жыл бұрын

    Dear Professor Dave, I appreciate your content, immensely. Very accurate. Very precise. Very enjoyable.

  • @DuchessandDori
    @DuchessandDori27 күн бұрын

    I am a 31 year old RA patient. I have been taking methotraxate and folic acid for years now. I wish I found this explanation earlier as nobody explained how essential taking folic acid is.

  • @danielloader3351
    @danielloader33512 жыл бұрын

    I'm currently on Methotrexate and have to do weekly injections for my autoimmunity (systemic sclerosis). Love the content Professor Dave!

  • @eugeniebreida1583

    @eugeniebreida1583

    2 жыл бұрын

    Is your Mtx working for you? Hope so! (dose? folate too? anything else?)

  • @studentaccount4354
    @studentaccount43542 жыл бұрын

    A relative of mine took methotrexate and wound up passing in their 50s from RA complications. It does not work for everyone. She was racked with pain and the RA effected her vital organs. It might work for mild arthritis for a while. She told me the methotrexate caused her to be very tired.

  • @TheWuschi
    @TheWuschi2 жыл бұрын

    Some years ago, I lost my mother to Methotrexate. Due to an error in anamnesis at the beginning of what was planned to be a minor short-term stay in a renowned Austrian hospital, her weekly arthritis-stabilizing dose of MTX was given to her as daily dose. The OD led to effects like an uncontrolled chemotherapy (which it actually was); her bone-marrow was completely destroyed, her immune-system broke down, she had to be reanimated and for the remaining horrible months of her life she had to be tube-fed and most of the time artificially respirated. Even though I know, that her death was not the "fault" of this drug, but the consequence of medical malpractice, I was triggered by this praise of Methotrexate as an antiarthriticum beyond my limits...

  • @Chris-mt4yq

    @Chris-mt4yq

    2 жыл бұрын

    Very good to know. I'm so sorry for your loss and all the trouble you were put through, I only wish you could have held those responsible, accountable. I have history with medical malpractice and it's a fucking disease on its own.

  • @SangheiliSpecOp

    @SangheiliSpecOp

    2 жыл бұрын

    I'm sorry for your loss

  • @TheWuschi

    @TheWuschi

    2 жыл бұрын

    @@Chris-mt4yq Thank you. As a matter of fact, the hospital gave me the choice between a long court process with uncertain outcomes here and a spontaneous financial help which empowered me to bring my mother home for her last months with a professional 24h-nurse for all the medical supplies she needed there. You can imagine, what I chose in my mother's interest... Also, I just did not have the strength to fight in this situation...

  • @TheWuschi

    @TheWuschi

    2 жыл бұрын

    @@SangheiliSpecOp Thank you!

  • @CG_Hali

    @CG_Hali

    2 жыл бұрын

    So sorry for your loss and trauma! Malpractice is the worse. This med saved my husband who was on his third hip replacement in his early 20s and has a fused elbow, dramatically stopped his decaying bones. So for us it's a lifesaver instead but totally understand your PTSD (I have a lot of medical PTSD due to malpractice since I was hard to diagnose for decades and given pills that turned out to be opioids without my consent and knowledge - was hell to get off them but did!). But yes, you are absolutely supposed to take MTX only once a week and only continue if the side-effects aren't bad (like in my husband's case). Plus folic acid, no alcohol. He's more fit now at 51 than in his 20s.

  • @kingspud1983
    @kingspud19832 жыл бұрын

    I take this drug. It took a long time to build up enough to begin feeling the therapeutic effects (approximately 6 to 8 weeks) but it has really helped a lot. Thank you for helping me understand this better. I'm going to review this with some of my science interested buddies to see if I can explore this a little further.

  • @redx11x

    @redx11x

    2 жыл бұрын

    Are you still on it? What was your weekly dose? Did you have RA.

  • @Peaceisful
    @Peaceisful3 ай бұрын

    Thank you; this was so well done.

  • @HuggieBear39
    @HuggieBear392 жыл бұрын

    Thanks Dave I will ask my Doc about this when I see her tomorrow

  • @GS-uc9yl
    @GS-uc9yl Жыл бұрын

    I have had RA for 22 years. Initially was diagnosed with lupus and found out in March of 2023 that I actually have rheumatoid arthritis…long story. My new doctor wants to take me off of hydroxychloroquine (which has never given me any issues) and put me on methotrexate. She gave me 90 days to decide. During that time, I decided to eliminate gluten, watch sugar, do intermittent fasting and increase my Vitamin D. I’m taking 4000 iu of Vitamin D plus I take a multivitamin which has 1000 iu. I noticed an immediate difference after increasing my vitamin D. My biggest complaint is having one or two stiff fingers when I wake up, and I refuse to take methotrexate for those symptoms.

  • @bahawbahawtv

    @bahawbahawtv

    9 ай бұрын

    U havent taken any meds yet? Im scared of methotrexate side effects

  • @dawnmckenzie3314

    @dawnmckenzie3314

    9 ай бұрын

    I’m was diagnosed with RA in March 2023. I too am scared to take the methotrexate. Currently on the hydro one. Not sure it works but will try till the end of the year to see if any improvements. Right now every day is different but always pain somewhere in my body.

  • @VrindaNewLife

    @VrindaNewLife

    3 ай бұрын

    Are you taking any medicine please reply

  • @GS-uc9yl

    @GS-uc9yl

    3 ай бұрын

    @@VrindaNewLife yes, I’m still taking 200 mg of hydroxychloroquine daily.

  • @VrindaNewLife

    @VrindaNewLife

    3 ай бұрын

    @@GS-uc9yl thankyou so much for reply your eye sight is ok now?

  • @user-ty4zq5zn8x
    @user-ty4zq5zn8x2 жыл бұрын

    I love your videos and you are a good teacher! (from HK student)

  • @SangheiliSpecOp
    @SangheiliSpecOp2 жыл бұрын

    I never knew about this, seems to be hit or miss from the comments (like any drug can be) but its interesting to know about. My mom's relatives all suffer from arthritis and so does she. I also have had it in both of my wrists all my life (I'm 28 years old now) and it gets very painful sometimes

  • @truvelocity
    @truvelocity2 жыл бұрын

    My daughter was diagnosed with RA at 19, which made us realize she’d had it a lot younger from the symptoms of her past. She ended up doing a program dietarily and is not on any RA drugs. She follows a strict dietary guideline and stays in remission. If she goes off of it, the symptoms return. Its far better at this time, then to be on methotrexate, which the side effects can cause infertility and other problems or the body forming a resistance to methotrexate. Then, trying to switch to other methods, like expensive biologics that aren’t necessarily covered by insurance. Its probably one of the worst diagnoses next to cancer. Science finally caught up with understanding that there is a gut problem connected to the joint flare ups. But, they don’t know if the gut problem is part of the disease or the other way around. We know its genetic and the gene gets switched on. Once that happens, you have RA for the rest of your life. My hope is that developments with CRSPR could possibly suppress the expression of RA. That said, I’m not anti drug. If you have severe flare ups, the joint damage is irreversible. If you need the drugs to knock that inflammation out of the ball park, then don’t hesitate to do so.

  • @BP-wv2xq

    @BP-wv2xq

    2 жыл бұрын

    Hi, I was recently diagnosed in the ER, still haven't seen a specialist but considering going the anti inflammatory route. Can you share your daughters diet ? I was sadly put on this drug after an ectopic pregnancy and I did not love how it made me feel. It appears to be the most common drug. I want to prepare myself before my first rehumatoid appointment. It would be sincerely appreciated.

  • @divyasasidharan2960

    @divyasasidharan2960

    Жыл бұрын

    Who created the diet plan for her?

  • @genevieve-gh3lp

    @genevieve-gh3lp

    Жыл бұрын

    @@BP-wv2xqDr. Brook Goldner Goodbye autoimmune

  • @florita846

    @florita846

    9 ай бұрын

    I would appreciate very much if u can share the diet of your daughter.ive been on.methotrexate for 10 yrs due to RA.

  • @truvelocity

    @truvelocity

    8 ай бұрын

    @@florita846 Google Clint Paddison. He explains what to eat and when. It takes about 4 months of eating a certain way and learning how to do it at the same time. A big learning curve and emotional roller coaster to make such drastic changes in one’s life that seem so inconvenient. But, the pain is far more inconvenient than the dietary changes.

  • @freddigreen5143
    @freddigreen5143 Жыл бұрын

    Thank you so much!!

  • @CG_Hali
    @CG_Hali2 жыл бұрын

    Thanks! That was a good video! We're grateful it is so well tolerated by my husband and keeps him healthy :) He's had RA since he was 2 years old and started MTX therapy in the late 90's. Previously, he was on gold injections as his DMARD. He'd already lost both hips and had replacements before he started MTX. No such degradation since. About the T-cells inhibition: specialists recommended holding off MTX for 2 weeks after getting his covid vaccines so it wouldn't interfere with the immune response.

  • @PhatPat0420

    @PhatPat0420

    2 жыл бұрын

    I'm sorry for your recent loss.

  • @alisontheanimal4009
    @alisontheanimal40092 жыл бұрын

    I’ve had RA since I was 13. It’s amazing to actually learn about this stuff properly. At least I know now why it’s important to take my folic acid everyday. Love your work Dave!

  • @NIYA-7

    @NIYA-7

    Жыл бұрын

    Do you take medication 💊?

  • @alisontheanimal4009

    @alisontheanimal4009

    Жыл бұрын

    @@NIYA-7 yes, on top of methotrexate I take several other medications, everything from disease modifiers to anti inflammatories.

  • @musclemania30

    @musclemania30

    Жыл бұрын

    @@alisontheanimal4009 I’m starting methotrexate today, do you suffer from any side effects and if so what are they? I’m only taking 25mg/week

  • @alisontheanimal4009

    @alisontheanimal4009

    Жыл бұрын

    @@musclemania30 I have in the past, but when I was much younger. I used to get a very upset stomach. I’m fine on it now. I’m also on a low dose and I have no problems with it.

  • @musclemania30

    @musclemania30

    Жыл бұрын

    @@alisontheanimal4009 took my first dose and it was actually only 15mg but my stomach didn’t like it one bit, after a while I was ok and if that’s all I have I’ll be ok.

  • @DragynGirl
    @DragynGirl2 жыл бұрын

    I have Multiple Sclerosis, and have had several treatments of methotrexate infusions when I had relapses. I went through two years where I was getting methotrexate infusions (along with high dose steroid infusions) every 4-5 months when we were trying to get the relapses under control. I HATED the treatments, I always felts like death afterwards. For about a week after each treatment I had a low appetite, was very lethargic, I thought I smelled like death no matter how often I bathed, I couldn't concentrate, I was just basically no use to anyone, including myself, for the first few weeks after treatment. Then when I started feeling myself again it was time for another treatment. The dose used for RA must be much less than what I was subjected to, as I'm sure if RA patients had my experiences the use of methotrexate to treat it would be much lower.

  • @modesti712
    @modesti71210 ай бұрын

    My 3 y/o daughter will be starting on this after being diagnosed with poly-JIA, and I found this video gave me a lot of peace after initially worrying about such a young girl needing to be put on a drug potentially long-term; after watching the video and understanding the mechanism, I am much more at peace when thinking about the prognosis, her future, and the effectiveness. Thank you for this video!

  • @charlie_crem235

    @charlie_crem235

    3 ай бұрын

    How is your daughter doing?

  • @modesti712

    @modesti712

    3 ай бұрын

    @@charlie_crem235 Hi there, thank you so much for asking

  • @stefanyromo9513

    @stefanyromo9513

    2 ай бұрын

    I hope your daughter is doing well ❤. I was diagnosed with Poly JIA at 2yrs and am 31 now. I started methotrexate intentions at a young age. Stay strong momma!!

  • @zoolook3264
    @zoolook3264 Жыл бұрын

    Thank you for posting this. I've just been prescribed it for RA/AS and severe eye inflammation which has caused about 90% loss of vision in 1 eye. Apparently it is great for Uveitis and related issues so we're starting me on this then will be adding infusion therapy too (Once cleared with insurance so ..... could be awhile). Love to everyone suffering and needing this kind of medication. Never give up hope.

  • @VrindaNewLife

    @VrindaNewLife

    3 ай бұрын

    Hope you are doing well please reply regarding your uveitis ....is there any improvement ?

  • @zoolook3264

    @zoolook3264

    3 ай бұрын

    @@VrindaNewLife I've just changed my regimt (This week) so now I am on Methotrexate and instead of Remicade I have moved over to Humira shots every 2 weeks. Since I have been on Methotrexate I have had no noticeable eye inflammation/Uveitis. I have very severe eye problems (Multiple eye diseases such as RP, also Glaucoma and a whole lot of other things) but since being on the Methotrexate + Remicade I have had no ocular inflammation. I have been told the Methotrexate alone can really reduce it BUT if your Uveitis is related to hla-b27 (Which it turns out mine was) then adding something like Remicade/Humira can be a big help too. I switched to Humira as I can do the injection at home instead of going in for the infusions every 8 weeks (And it's a whole lot cheaper).

  • @tuitasman4614
    @tuitasman46142 жыл бұрын

    Thank you. I am on methotrexate as a kind of catch all because I can't get a diagnosis for various autoimmune conditions and can't afford to see a specialist. But it has improved my quality of life. I am so glad to get a proper explanation of how it works I couldn't make sense of it myself. If you have a moment could you tell me anything about the consequence of long term use? Thank You really Thank You

  • @wojciechchmiel2443

    @wojciechchmiel2443

    2 жыл бұрын

    There're no consequences of long-term use, the benefits far outweigh any possible risks, of course within the right dose range of 15-30 mg per week with an addition of folic acid 15 mg 1 tabl. per week. Very safe drug generally, but still requires at least yearly checks (morphology, creatinine, ALT)

  • @tuitasman4614

    @tuitasman4614

    2 жыл бұрын

    @@wojciechchmiel2443 Thank You!

  • @SlunkyBoi
    @SlunkyBoi2 жыл бұрын

    For anyone who is about to go on mtx or even currently on it: I was diagnosed with RA I think at 22, and it was so bad I could not walk or even hold a tissue. I’ve been self injecting MTX once a week for years now and straight up forget that i even have arthritis. I highly suggest injecting it over taking it orally. Some will tolerate it but for me it made me borderline suicidal. I passed out the first times I took the injection, I hate needles, but trust me when I say the injection will save your life. Highly highly recommend. Always listen to your own body & take frequent blood tests tho, everyone responds differently to different drugs. Also try other less harmful drugs first if your dr suggests it, and definitely take folic acid as well. Also no binge drinking! I felt extremely hopeless with my RA but self injecting mtx is only a few $ a month (it is a generic drug, if it costs too much or has a name they’re likely charging you extra for the packaging, no joke) and can be extremely worth it. I’m not a dr! Always listen to your dr first.

  • @eugeniebreida1583

    @eugeniebreida1583

    2 жыл бұрын

    Glad it’s working, may I ask your age today? (years on MTX?)

  • @toxictony4230
    @toxictony42302 жыл бұрын

    I too am on this drug along with Folic acid. Before I was barely able to go to the shop around the corner. Now I'm back climbing mountains again. In taking this drug I was warned against drinking alcohol, and no more than 1 unit per week (UK). I'm assuming that this due to it's affect on the liver as mentioned in the piece, but would be interested to know if there's more to this.

  • @kingspud1983

    @kingspud1983

    2 жыл бұрын

    I'm interested in knowing more about that too. It wasn't explained to me whether I need to be off of alcohol for 24 hours prior or off of alcohol for 24 hours following a dose, so I do both just to be safe. I'm still pretty worried about it though because my blood tests have been showing that I need to drink much more water.

  • @toxictony4230

    @toxictony4230

    2 жыл бұрын

    @@kingspud1983 A unit of alcohol, in the UK at least is a tot of spirit abv 40%, half a glass of wine or a nip (third of a pint) of beer or cider per week. Remember some products can contain alcohol that are not thought of as drinks, such as other dedication.

  • @redx11x

    @redx11x

    2 жыл бұрын

    Tony, how bad was your arthritis?

  • @wiktorutracki6469
    @wiktorutracki64692 жыл бұрын

    It's cool (and kind of scary in a way) how by a chance something works very well with something we did not predict.

  • @toxictony4230

    @toxictony4230

    2 жыл бұрын

    And it's not the first. There's a certain heart drug that had similar beneficial effects as well.

  • @trep53
    @trep532 жыл бұрын

    Prof. Dave, this is all easy for you to say but I got lost shortly into the video. Regardless this is good information for patients suffering RA and trying to talk to their Dr. about treatment.

  • @eugeniebreida1583
    @eugeniebreida15832 жыл бұрын

    Thanks for this! Any vids on Psoriatic Arthritis - which seems to yield extreme vascular damage - fast.

  • @Crazyfreddy69
    @Crazyfreddy692 жыл бұрын

    Thank you for this I have been struggling with RA for 15 years and never considered this drug even though its been the go to drug at the beginning. I am on biologicals and they don't help only steroids for now I hope to get some relief.

  • @CG_Hali

    @CG_Hali

    2 жыл бұрын

    Weird, here in Canada they always start non-biologicals first, then go on to the next until they find the right one for you. It's a matter of cost but also side-effects. My husband has been on metha for decades and it went very well for him so he never needed upgrading. Definitely talk to your specialists if you aren't getting proper relief, you never know if a simpler or different type of RA medicine would work or not. There was nothing in the 70s for kids (my husband was 2 when it happened) and after so many painful treatments, finally that worked and he's had a huge slow down of his bone decaying since.

  • @ApostolosKatsioulas
    @ApostolosKatsioulas6 ай бұрын

    I am not suffering from rheumatoid arthritis, I currently suffer from reactive arthritis and the rheumatologist's diagnosis is that it might be early stages of either psoriatic arthritis or anylosing spondylitis. Therefore, he prescribed weekly injections of methotrexate for the next three months. Am I to accept that for the rest of my life I am dependent on methotrexate or?

  • @crave9589
    @crave95892 жыл бұрын

    Sir, i have to learn electrostatic potential & capacitance, current electricity, moving charges and magnetism, alternating current and electromagnetic waves.... These are some of the chapters in NCERT physics book which is for STEM students in India.. Sir, i did try to find it in ur playlist but i couldn't find any so i suppose you haven't posted any of the topics of those chapters... I would really love to learn them from you but since my exams are on 28 march i can't wait for you to create it & then watch it (and i also dont even know if you are going to make videos on those topic or not) so i would really really appreciate it if you share me the channel of someone who has made videos on those topic plus who explained as well as you...

  • @EffequalsMA
    @EffequalsMA2 жыл бұрын

    That shit is nasty. Lots of side effects for me.....

  • @shannonjhanlen
    @shannonjhanlen2 жыл бұрын

    As someone who suffers from RA. I am on Methotrexate, the Folic acid supplement and Prednisone. Before I was on these drugs, I was in Chronic pain and barely able to move let alone do anything like, Work, Walk, Cook, Clean etc etc. Just 3 days after I started treatment I was able to live a full life again. These drugs are a "miracle" (If there is such things) and it made my love and confidence in proper scientific medicine so much deeper and profound.

  • @prla5400

    @prla5400

    2 жыл бұрын

    Nice to know ^_^

  • @shannonjhanlen

    @shannonjhanlen

    2 жыл бұрын

    @@prla5400 - Why is that nice for you to know? I am curious.

  • @catboyedgeworth2469

    @catboyedgeworth2469

    2 жыл бұрын

    @@shannonjhanlen i assume they just meant its nice to know it worked so well for you.

  • @eugeniebreida1583

    @eugeniebreida1583

    2 жыл бұрын

    Did you adjust your diet at all?

  • @shannonjhanlen

    @shannonjhanlen

    2 жыл бұрын

    @@eugeniebreida1583 - what on Earth for? Diet has nothing to do with Auto immune diseases.

  • @captainbuck5969
    @captainbuck5969Ай бұрын

    This guy is good!

  • @Vuurpyl
    @Vuurpyl Жыл бұрын

    Hi professor Dave, is it safe to handle cytotoxic tablets in a pharmacy setting? Is there any proof that coated or blistered cytotoxic tablets are safe to handle? Hope you can help me with clarity as obvious as the answer may be.

  • @alexanderkaiser89
    @alexanderkaiser892 жыл бұрын

    Hi Professor Dave. I have a request that you may find interesting or not, it’s a mathematical one. I have always found it hard to understand “Inter-universal Teichmüller theory”, “The Collatz Conjecture”, and “The Birch and Swinnerton-Dyer Conjecture”. If you would make a video on one of these topics that would really help 😊 I’m studying a Master’s in mathematics in Denmark. I’m sorry for my English, I’m not mothertongue in English. Btw, I love your content.

  • @jaisere

    @jaisere

    2 жыл бұрын

    Your english is better than most native speakers!

  • @alexanderkaiser89

    @alexanderkaiser89

    2 жыл бұрын

    @@jaisere Wow, thanks! I really appreciate that. I do try to keep up my language skills, even though I’m studying something completely opposite to that.

  • @KevinTspirit
    @KevinTspirit7 ай бұрын

    I have Ankylosing Spondylitis, and have been prescribed this med twice in the 5 years since diagnosis. Each time I've refused it. Everyone says it has helped them, but the side effects were rough. Thankfully I had a grace period of 2 years with a biologic, which eventually stopped being effective. I lost health insurance after those 2 years and have been mostly on Sulfsalazine and occasional NSAID. Methotrexate scares me, but I do appreciate the explanation of how it works in this video, but still dont want it.😊

  • @user-zh5ji8fy8v
    @user-zh5ji8fy8v6 ай бұрын

    Hi and thanks for this info. Do you know if Meto is safe to use With HBOT, which is a powerful tool against inflammation.

  • @davvader
    @davvader2 ай бұрын

    I anticipated DHFR, because I had to study methotrexate with folate metabolism as a method for selection of production clones.

  • @davvader

    @davvader

    2 ай бұрын

    THERE IT IS :D

  • @lotsaspaghetticodejr.6488
    @lotsaspaghetticodejr.64882 жыл бұрын

    My mom has RA as well as lupus, and her lupus has attacked her nerves in her spine. Throughout her life, she has developed herniated and fully ruptured disks and is now almost fully disabled and likely will not be able to walk in as little as two years. We are speaking to her doctor to see if this is an option.

  • @yikes8322
    @yikes83222 ай бұрын

    Do you have one of these over remicade maybe??? I have chrons and RA and while I’m on remicade they’ve been considering this methotrexate eventually so I’d love more information from a smart person on the biologic drugs and things

  • @mix3k818
    @mix3k8182 жыл бұрын

    Hey, Dave! Do you have a video on the subject of how a human's perception of color works? I, for example, find it odd that there are nodes in the eyeball designated for shorter waves that are responsible for seeing blue, but you'll only see specific shades of blue depending on which type of colorblindness you have (and that tritanopia allows cyan, despite it being a mix of green and blue).

  • @ProfessorDaveExplains

    @ProfessorDaveExplains

    2 жыл бұрын

    Check my tutorial on visual processing in the biopsychology playlist!

  • @mix3k818

    @mix3k818

    2 жыл бұрын

    @@ProfessorDaveExplains I did watch it in full, but from what I recall, it does not tell me about how being colorblind works. Thanks for the video regardless!

  • @arcadia5607
    @arcadia5607 Жыл бұрын

    Just found out I have RA. I thought it was an eye infection but it was the white of my left eye having redness and inflammation. Thus also explained my hand and shoulder pain too.

  • @divyasasidharan2960

    @divyasasidharan2960

    Жыл бұрын

    Wait I have eye inflammation whenever I have RA flare up but doctors don’t connect the 2 even after me mentioning it so many times.

  • @MrPingu-tb5lw
    @MrPingu-tb5lw2 жыл бұрын

    great intro

  • @rdance3
    @rdance32 жыл бұрын

    Take my word for it....if you get put on Methotrexate, don't take Folic Acid! Instead, take 5-Methylfolate, the active form of Folate. If I had know this, I wouldn't have had to retire, at age 53, due to extreme metabolic dysfunction. Also, 5-Methylfolate will allow the Folate Cycle to be active in relation to the Methionine cycle but since Methotrexate affects DHFR and DHFR is also part of the Biopterin Cycle, be cognizant for the potential of Dopamine regulation problems leading to anxiety. Learn your genetics and how to hack your neurotransmitters.

  • @DGill48
    @DGill48 Жыл бұрын

    5:46....Dave, you should point out that there is only ONE functional group difference between the two molecules !! Maybe just highlight the amine group to show judt how similar.

  • @studentaccount4354
    @studentaccount43542 жыл бұрын

    Someone I know took methotrexate and died in her 50s. She got the fibrosis and it killed her.

  • @DredFulProductions
    @DredFulProductions2 жыл бұрын

    Some men just want to watch the world learn

  • @navdeepagrawal9201
    @navdeepagrawal92019 ай бұрын

    Does it weaken my immune system? Feaver and other decease caught rapidly.

  • @TetraTerezi
    @TetraTerezi2 жыл бұрын

    Happy womens month. As women have more chances at auto immune, its very amazing to see drugs woman are taking explained. My gma took methotrexate for RA for most of my life. She took gold pills of some sort before methotrexate became an option for her.

  • @ranusoni.51
    @ranusoni.514 ай бұрын

    Someone please tell me is it okay to take methotrexate or is it harmful in the long run

  • @HakuCell
    @HakuCell2 жыл бұрын

    hey Dave, is there graphene in the covid vaccines? and is it toxic? i don't remember if you addressed these questions in your videos on vaccine.

  • @ProfessorDaveExplains

    @ProfessorDaveExplains

    2 жыл бұрын

    There is no graphene in vaccines. That's just something stupid someone made up.

  • @kennwan9917
    @kennwan9917 Жыл бұрын

    10 years ago, at the age of 17 I started getting reactive arthritis symptoms. I've been pursuing help through the NHS the entire time. Unfortunately, I've only just started to get the help I've always needed 10 years later, with my condition becoming chronic. I tested positive for hlab27 and subsequently suffer with psoratic arthritis, psoriosis etc. I'm picking up my pescription for methotrexate today. Hopefully it helps with most of my immune system issues, but I will keep this comment updated if anyone requests it. If you're going through anything similar and see this weeks, months or years down the line, drop a comment so I get a notifcation and I'll let you know how it is going.

  • @bahawbahawtv

    @bahawbahawtv

    9 ай бұрын

    Does mtx helps u? How r you now?

  • @kennwan9917

    @kennwan9917

    9 ай бұрын

    @@bahawbahawtv Well I took it for 11 weeks, only recently stopped. It's hard to say if it helps as I took it during the warmest months of the year when I typically have less symptoms anyway. But I had to stop as it was just causing me to feel horrible. No energy, toilet situation wasn't great, and the mouth ulcers are painful. I got ulcers on the back of my throat, something I'd never had before.

  • @Jo-yg5nd
    @Jo-yg5nd Жыл бұрын

    My daughter was in agony and on ketamine and fentanyl and still crying until we started treatment for ra and now on no opioids

  • @-JA-
    @-JA-2 жыл бұрын

    👍

  • @user-rl6wr2ny7f
    @user-rl6wr2ny7f Жыл бұрын

    My Dermatologist prescribed me this for erythroderma. This drug has essentially saved my life. Anyone who has had to take prednisolone for autoimmune issues understands how much this drug protects from the adverse effects of more short term treatment options.

  • @BingBongWasheeWashee
    @BingBongWasheeWashee2 жыл бұрын

    I put this drug away on the shelf today in my pharmacy lol

  • @sportsparadise7429

    @sportsparadise7429

    2 жыл бұрын

    Pouvez-vous expliquer encore plus svp?

  • @vicsy8
    @vicsy82 жыл бұрын

    More pharm, dude.

  • @abdohagahmad557
    @abdohagahmad5572 жыл бұрын

    hi

  • @bangi69xd36
    @bangi69xd362 жыл бұрын

    *wait my fingers are a little bit like that but I don't have any pain or issues*

  • @petersparshot4997

    @petersparshot4997

    7 ай бұрын

    Go see a doctor

  • @livingcodex9878
    @livingcodex98782 жыл бұрын

    おはようございます

  • @LesDL69
    @LesDL692 жыл бұрын

    Gazoontite

  • @neo7794
    @neo77942 жыл бұрын

    Intro for 5 year olds content for uni students XD

  • @cynergynt
    @cynergynt2 ай бұрын

    And….then you end up with neutropenia, as it wipes out your neutrophils. At least warn people of these adverse effects so they can make informed decisions

  • @tonymoto1188
    @tonymoto11882 жыл бұрын

    Is it any good for covid? Asking for a friend......an idiot friend.

  • @CNCmachiningisfun
    @CNCmachiningisfun2 жыл бұрын

    Methotrexate gave me back my mobility, but it almost killed me, by causing internal bleeding, and a stroke. 'Thanks', god! Fortunately, other meds came to the rescue. Once more, medical science defeats god's evil plans :) .

  • @cherokeeheartct8633
    @cherokeeheartct863310 ай бұрын

    I was diagnosed with RA.the pain in my hands is debilitating. I was on Humira,got covid Humira stopped working. Ins wanted a $400 co pay for Simpony.started methotrexate havent had pain so far no side effect