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About Meds and Pregnancy
me to FlakeHQ and I think
great! I am 28 and have had
psoriasis for about 6 years. Two
years ago, the Dr. put me on methotrexate and I have been 97% clear ever
since — with the exception of a couple of spots which I think are
permanent and can never be removed.
was wondering if you could help me with a problem/dilemma I am having.
I am looking for some answers from experienced psoriasis sufferers.
It has to do with pregnancy and medications.
Now I realize that you might not have personal experience, but
maybe your readers can help or maybe you have spoken to people about this
know that you should definitely not get pregnant while on MTX
(methotrexate), I also know that the doctors say you should be off of it
at least 6 months before you try having kids.
I am looking for answers to the following questions.
you know anyone who was on MTX before they became pregnant and stopped to
become pregnant? If so, how was the baby?
Do you know anyone who was on cyclosporine while trying to become
pregnant? Is that harmful for
problem is I read a million different viewpoints about cyclosporine and I
am just looking for women with psoriasis who might have answers to these
questions. Please let me know
if you have any insight.
truly enjoyed reading your diaries from when you were on cyclosporine and
MTX. Sometimes we really need
to be reminded that we are not the only one having these problems.
I was recently diagnosed with psoriatic arthritis in my knee —
which scares me considering I take 6 pills of MTX every week.
I can only imagine the pain I’ll
be in when I have to go off. I
also have the arthritis in my pinky and I am sure I will lose a joint as
soon as I go off the MTX. The
MTX has saved my other fingers for now, but I know it’s just waiting. My father has psoriatic arthritis pretty bad in his fingers.
All of his joints are stiff and he has had surgery to move bones
from his toes to his fingers. He has managed to play tennis and golf almost everyday.
always funny to see his golf club fly out of his hands into the water
because he lost his grip. I laugh because I have to — otherwise it would remind me of
what I may be like 20 years from now.
Thanks for making a difference.
I look forward to being an active visitor to FlakeHQ from now on.
Response: Glad you were
referred to us, Melissa. If
you are a member of the National
Psoriasis Foundation you can download a brochure from their website
titled “Conception, Pregnancy & Psoriasis.”
According to this brochure, MTX poses no problems if it isn’t
used at conception or during pregnancy.
Cyclosporine does not appear to pose a “major fetal risk for
pregnant women. A worldwide registry of transplant patients (cyclosporine ...
is used in organ transplant cases) treated with the drug during pregnancy
did not show an increased rate of birth defects, although low birth weight
and premature birth were traced to cyclosporine use.”
appreciate your anxiety with regard to the arthritis and what might happen
when you go off the MTX. I’m
hoping to go back on MTX very soon because my PA is flaring again.
I cringe to think of what it might be like to go through a PA flare
during nine months of pregnancy. Hopefully
some other FlakeHQer who has personal experience with this (MTX, PA and
pregnancy) will write back.
the meantime, I recommend you visit the NPF
website and post another inquiry in the member forum (assuming you are
or will become a member). Also,
post an inquiry in the Psoriatic Arthritis Forum at PsorHeads (you can
jump there from the hyperlink in the contents bar at the top of this
you search on the word “pregnancy” here (click on Search, above, to go
back to the home page) you will get several references to email in the
archives. Many women
experience a complete relapse of their P symptoms while pregnant.
It’s unfortunate that we have no test you could take in advance
to see if that’s going to be your experience.
Let us know how things progress and what other FlakeHQers have to say. We look forward to hearing from you again. -Ed