Medications like Lefumide (leflunomide) and Folitrax (methotrexate) commonly cause temporary increases in SGPT, SGOT, and Gamma GT. This elevation usually indicates mild liver irritation, not permanent scarring (cirrhosis). In most cases, this irritation is completely reversible once your doctor adjusts your dosage or pauses the medication, as the liver has an incredible ability to heal itself. Please share these results with your doctor soon. They can safely manage your arthritis while protecting your liver health.

It is very common and expected for a mass to still be visible on an ultrasound. This mass is usually just resolving tissue or a small collection of blood, which your body will slowly reabsorb over several weeks, even after your hormone levels return to normal. Please continue to follow up with your doctor for regular blood tests until your hCG level reaches zero, and seek immediate medical care if you experience any sudden, severe abdominal pain.

Since you are taking weekly Folitrax (methotrexate) and Medrol (methylprednisolone), it is possible you have a seronegative autoimmune condition, meaning joint inflammation is present even though your rheumatoid arthritis tests are negative. Ongoing symptoms suggest your current treatment might need adjustment, or there could be an underlying low-grade infection. I gently recommend discussing this with your rheumatologist. They can review your medications, check other inflammatory markers, and help find a plan to bring you much-deserved comfort and relief.

Yes, her symptoms of severe stomach pain, vomiting, and white stools can point to a liver or bile duct issue, which can sometimes be linked to medications like Folitrax (methotrexate) or Wysolone (prednisolone). White stools suggest bile is not reaching her intestines properly. Please take her to the nearest hospital or consult her doctor immediately for a physical exam and liver function tests. It is best to hold her medication doses until a doctor evaluates her.

Folitrax-7.5 Tablet contains methotrexate, which may be taken safely for several years when prescribed and regularly monitored by a doctor. There is no fixed maximum duration because the length of treatment depends on your condition, how well the medicine controls your symptoms, and your blood test results. It is usually taken once a week on the same day, not daily. Methotrexate can affect the liver, kidneys, and blood cells, so regular blood tests are important during treatment. These usually include blood counts, liver function tests, and kidney function tests. Once your treatment is stable, these tests are generally done every 2 to 3 months. Do not stop Folitrax-7.5 Tablet suddenly or continue taking it for longer than advised. Your doctor may adjust the dose or stop treatment if your condition improves or if your test results show side effects.

Please be reassured that taking a single dose of Folitrax (methotrexate) right before her blood test would not instantly drop her platelets to 105,000, though long-term use can gradually lower them. A count of 105,000 is only mildly low, but her surgical team must review it. Regarding her upcoming knee replacement, certain medications like Etoshine-90 (etoricoxib) and Osteofos-70 (alendronate) can impact bleeding and bone healing, and are usually paused before surgery. Her other daily medications, including Thyronorm and Pantop D-40, are generally safe but require clear scheduling by her surgeon. Please share these results with her doctor for a safe surgical plan.