How often should I have blood tests to determine if the Methotrexate is causing damage to my liver?

I have been taking methotrexate now for a few months. 2.5 mg tablets at 8 per week. I am new to RA so I am not sure what normal testing would be for this drug but I will tell you what I do. My rheumatologist told me to have bloodwork done monthly. However, it is my responsibility to go to the lab every month and have this done- no reminder from the doctor or the lab. If I were you I would insist upon more frequent testing. Hope this helps.

I have been on methotrexate now for quite a few years and you should have a blood test every month.  You should have a full blood count and an admin profile every month and a ESR at least every 6 months or more often.  It is your responsibiity to go to your doctors surgery every month and have this done.  Hope this helps.

Hi Monty,

Thanks for your question. It is recommended to have your liver function tested every 1-2 months while taking methotrexate. It is also recommended to have a CBC (complete blood count) and platelet count every month, and have your kidney function checked every 1-2 months. You can read more about methotrexate here.

Best of luck,

Casey

My doctor had me have a blood test 2 weeks after the inital starting of meth and then every 6 weeks after.  Hope this helps!

i have been on methotrexate for a year and a half i have blood tested every 3 months i have to see my rheumatologist every 3 months no urine

Twice

Monthly is what my RA and pain mgmt drs have me do

I would say it is not normal.  My rheumatologist insisted on blood work screenings for liver and kidneys and CBC  every 3 weeks, and it's been like clockwork.  Good luck.