“Disabled people who can become pregnant deserve the right to not be in pain.”
To learn more about methotrexate and how decisions like this affect patient care, I reached out to Dr. Anisur Rahman, Professor of Rheumatology at University College London. Dr. Rahman explained that this medication can be used to treat many different conditions, including rheumatoid arthritis, psoriatic arthritis, systemic lupus erythematosus, and myositis.
"It suppresses the immune system and that is why it is useful in treating these diseases, which are caused by the immune system attacking our body. It is very effective both in reducing symptoms and in stopping long-term damage." However, if a patient has to stop taking this medication and no alternative is prescribed, he says it can cause a flare-up of symptoms and may lead to long-term damage.
"If they are at risk of pregnancy because they're sexually active and not taking reliable contraception or they want to have a child soon, then methotrexate would not be started and an alternative drug would be used.""I have always found that you can trust patients to take responsibility for their own health in this regard. So if a patient tells me that she is taking all precautions not to get pregnant, I would continue prescribing methotrexate.
"I have not had a case where someone got pregnant accidentally while taking methotrexate, but colleagues have and it does happen. In that case, in the UK, abortion is an option."
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