Methotrexate Journey – Week Two

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I’m pretty sure that ginger is my new hero.

This week I am moving from 2.5 mg to 5 mg of MTX. So I anticipated a lot more nausea than last week. But thankfully I planned ahead. Since I know that ginger helps manage nausea, I started with ginger tea on Saturday morning. And had about five small pieces of crystallized ginger in the afternoon and evening Saturday. I may ultimately take ginger capsules, but wanted to start with “real foods” since I could see what my dose really would be. (Can never be sure that supplements deliver what the label says.)

Sunday morning I decided to do one of my two intense yoga classes of the week. The theory was that if I’m MTX-tired on Monday, I won’t have to drag myself through a hard class again until Thursday. Normally, I have a smoothie (mostly veggies & fruit) every morning. So after yoga I made a carrot/orange/ginger smoothie. Have to say I got a little overzealous with the ginger … but fundamentally it’s a good flavor.

After the smoothie, I took my two tabs of MTX (and all my other meds/vitamins). Then I just settled down to do some laundry and watch a couple shows from the DVR. Nothing like a little laziness to make me feel better! I also munched a few ginger snaps … which was mostly just a yummy indulgence. The cookies really don’t have as much “active ingredient” as the crystallized ginger.

By 4pm I’d only had minor queasiness … nothing at all as intense as last week. However, the tiredness did start to set in and was solved by a short nap.

By 7pm I was ready to declare ginger the hero of the day! Now the next test of the 5mg will be how tired I am on Monday …


  1. Wren
    Jan 24, 2010

    Wishing you the best of luck with MTX. I’m one of those who just couldn’t tolerate it (few stomach ills, but a truly crushing fatigue and general malaise). I wish I could; it really does seem to be one of the best DMARDs out there.

    Ginger is one of the best foods/spices/nausea remedies going. Glad it seems to be working so nicely for you!

  2. thislusciousra
    Jan 26, 2010


    I am grateful to say that my medication side effects seem pretty manageable so far. It must be so frustrating to want a medication help you feel better, only to find it makes you feel worse.

    Thanks for stopping by!

  3. robin
    Jan 31, 2010


    I’m glad you found ginger to help you! I wish I had known about it way back when. I eventually had to take methotrexate through self-injections because I would wake up in the middle of the night the day after taking it and have to run to the toilet…my stomach could not handle it. Good luck with the meth. it really helped me! Robin

  4. robin
    Jan 31, 2010

    ah, I meant to address that to you, Barbara! I was looking at Wren’s comment, you know, brain fart.

  5. thislusciousra
    Feb 5, 2010

    Robin – Okay this is funny. I am a student in the Distance Learning Program at Institute for Integrative Nutrition too! Love love love the information and the approach. Thanks for visiting! Barbara

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