1 interaction related to rheumatoid arthritis
Methotrexate works by blocking the enzyme that recycles folate into its active form, which depletes folate in normal tissues and drives common side effects such as nausea, mouth sores, and elevated liver enzymes. Folic acid supplementation reduces these side effects without compromising efficacy at the doses used for autoimmune disease, but it should not be taken on the same day as methotrexate, and it should never be added on your own when methotrexate is used for cancer.