Methotrexate
Methotrexate is a disease modifying drug indicated in the treatment of a number of
conditions including severe rheumatoid arthritis, Crohn's and psoriasis. It is a
cytotoxic drug and it works by suppressing the immune system. When patients are
prescribed it, it is important to 
 
  • Know why the patient is on it.
  • Ensure that the drug is prescribed ONCE A WEEK 
  • The days the patient is not taking the drug should be crossed off in the drug chart
  • Use gloves when handling.
  • Store in the original container in the patients bedside locker.
  • Discuss with the medical staff if there is a:
  • Increase in temperature
  • Raised blood pressure
  • White Cell Count less than 4
  •  
    Remember if the patient has a Methotrexate monitoring booklet with them
    that this is updated.