A patient taking methotrexate asks whether a fever and mouth ulcers should wait until the next routine rheumatology appointment. What would you

Question

A patient taking methotrexate asks whether a fever and mouth ulcers should wait until the next routine rheumatology appointment. What would you advise the patient?

Accepted Answer

Seek urgent advice because infection or blood dyscrasia may be serious

Answer

Stop every medicine permanently without telling the clinic

Answer

Take an extra folic acid tablet and ignore the symptoms

Answer

Wait for the next appointment if the weekly dose was taken correctly

Answer

Use ibuprofen at maximum dose until ulcers resolve

Methotrexate infection counselling — GPhC CRA MCQ

A patient taking methotrexate asks whether a fever and mouth ulcers should wait until the next routine rheumatology appointment. What would you advise the patient?