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Rhematoid Arthritis, taking arava and folitrax - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Arthritis
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   good Rheumatologist
Doctor :   Hi
Doctor :   How can I help you?
User :   hi docter
User :   i have having rhematoid Arthritis and taking medications
Doctor :   Ok

User :   currently taking Arava and folitrax (methoxy)..
Doctor :   Ok
User :   would like to know if it is safe to planning for kid
User :   from the research papers, i see both medication need to be stopped
Doctor :   May I know your age and gender?
User :   27, Male... i have having RA since 10 years
Doctor :   Ok
Doctor :   Let me brief you.
User :   ok
Doctor :   One of the risk factors for rheumatoid arthritis is a gene known as HLA - DR4.
User :   ok
Doctor :   There are minute chances that gene can be transmitted to your kids, however
Doctor :   the exact chances of this happening is unknown as the pattern of transmission is not known.
User :   oh ok
Doctor :   Hence there are chances that you may transit the condition to your kids.
User :   ok... is it possible to avoid by any chance?
Doctor :   The drugs can cause teratogenic effects, but that is only a worry in women.
Doctor :   The best chances that you can prevent the transmission is by continuing your treatment regularly as advised by your rheumatologist.
Doctor :   alternatively get the genetic counselling done
Doctor :   to verify the presence of the affected gene.
User :   do we have any specialist for this ?
User :   how much would it cost approximately for this testing?
Doctor :   You need to consult a genetic counsellor for gene counselling.
Doctor :   Few centre such as Manipal hospital have such facilities.
User :   ok.. do you recommend any docters for rheumatology in bangalore?
Doctor :   Since the cost will depend on the institution, I may not be able to give you the exact figure, hence
Doctor :   I would suggest you to consult your rheumatologist, who will be able to advise better in this regards.
User :   or is it possible to meet you in person?
Doctor :   WWW.WWWW.WW Doctor :   This link has details of 4 wellknown rheumatologist practising in bangalore.
Doctor :   You can consult any of them depending on the proximity to your location.
Doctor :   I would suggest you either Dr XXXXXXXX or Dr AAAAAAA
User :   ok, thank you very much
Doctor :   Do you have any other query?
User :   i think i need to meet the docter in person for Gene checkup
User :   but is there any known complications in the child birth/fertility for me when taking drugs like Arava, Methoxy
User :   * for MEN
Doctor :   Immunosuppresants can reduce fertility, however, this can only be confirmed by spermanalysis.
Doctor :   The need for these evaluations, both genetic counselling and spermanalysis can be determined after a physical examination alone.
Doctor :   Hence I would suggest you to consult your doctors/rheumatologist prior to getting these checkups done.
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query?
User :   yeah.. superb service
Doctor :   Do you have any other query?
User :   i think this is sufficient for me for the next steps
User :   thank you much once again!
Doctor :   Thanks for consulting me. Bye for now.
User :   have a good day... bye..
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