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Yazan Alhourani

Yazan Alhourani

Licensed Physician

الأسئلة المجابة 75463 | نسبة الرضا 98.7%

Doctor

Hi ..i am 58 yrs old.i have RA since 1998..i used...

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Hi ..i am 58 yrs old.i have RA since 1998..i used so many medicine. Without much benifits now befor 3 months Dr prescribe for me Arava 20 mg daily and Methetrxat 6 tab weekly ..i start feel the i improvement allot and i feel thr differences from 1st wek .i use only for one month but bcs the liver function test was very high 110 my Dr told me to stop the both Methand Arava..and make lab test and ehen i stop again thr pain increas as before..now lab test LFT become normal then he told me to take only Methetrxat..but i use Methetrxat before without any benifits so please i need advice ..can i use again Arava bcs all the pain relieved while i am taking it ..ir f any other way of taking it can help ? amaldeg@gmail thank you so much
Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?
Yes and now the doctor told me to take Methetrxat VitD3 Calcium .prednisone 5mg ×2
Doctor's Assistant: Anything else in your medical history you think the doctor should know?
Only intisital lung (minimal)since more than 10 yrs

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إجابة الخبير: Yazan Alhourani

Yazan Alhourani

Yazan Alhourani

Licensed Physician

الأسئلة المجابة 75463 | نسبة الرضا 98.7%

Normal liver enzymes levels ?
sgpt - alt  : 7 -56
Sgot - ast : 10 - 40 
Can you take Arava again ?
researches shows that Arava can cause liver damage  and it could be developed to serious level, and in your case , its the reason that doctor stopped the medication 
- we advise against taking it again , but if you insist , reconsult your doctor 
What are the possible other options to take :
- Hydroxychloroquine 
- Sulfasalazine 
- etanercept 
- infliximab 

إسأل Licensed Physician

Yazan Alhourani

Yazan Alhourani

Licensed Physician

الأسئلة المجابة 75463 | نسبة الرضا 98.7%

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