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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Mild Lung Scarring While On Methotrexate?

I have just been diagnosed with mild bibislar lung scars. I am currently on Methotrexate 25mg once weekly subcutaneous needle for Rh arthritis. I have been diagnosed with osteo and rh arthritis. My concern is taking Methotrexate. I have been on tablet for 6-8 once a week for the last 3 years and have recently started having the needle form. Would you please give me your recommendation regarding this medication? My mother died as a result of Fibrosing Alveolitis and she also had Rh Arthritis. Weak lungs seem to Rubin the family ..this includes cancer of the lung. Thank you.
Wed, 27 Sep 2017
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Pulmonologist 's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Methotrexate used for RA can cause pulmonary fibrosis.
So in my opinion, you should stop methotrexate and start other newer drugs for RA.
Newer drugs like imfliximab, tofacitinib are good alternatives of methotrexate which are safe for lungs.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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What Causes Mild Lung Scarring While On Methotrexate?

Thanks for your question on Healthcare Magic. I can understand your concern. Methotrexate used for RA can cause pulmonary fibrosis. So in my opinion, you should stop methotrexate and start other newer drugs for RA. Newer drugs like imfliximab, tofacitinib are good alternatives of methotrexate which are safe for lungs. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.