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Methotrexate side effects

Aggregated from 6 medical sources. Not medical advice. Always consult a healthcare professional.

144 side effects

Side effectFrequencyNcbi.nlm.nih.govMayo ClinicNHSArthritis.orgRheumatology.orgHSS
NauseacommonnauseaNauseaFeeling or being sickNauseanauseanausea
VomitingcommonvomitingVomitingFeeling or being sickVomitingvomitingvomiting
DiarrheacommonDiarrheaDiarrhoeadiarrhea
HeadachecommonHeadacheHeadachesHeadaches
FatiguecommonfatigueUnusual tiredness or weaknessFeeling tired or drowsyFatiguefatigue
Hair losscommonalopeciaHair lossHair lossHair losshair losshair loss
Liver problemsrareliver diseaseliver problemsliver issuesliver toxicity
Infectionrareinfectioninfectioninfection
Blood disorderrareblood disorder
Allergic reactionrareHypersensitivity reactionsallergic reaction
Gastrointestinal upsetcommongastrointestinal toxicitygastrointestinal upsetstomach upset
Mouth sorescommonmucosal ulcersSores in the mouth or lipsMouth ulcersmouth soresmouth sores
RashcommonItching, rash, reddening of the skinrashskin rash
DizzinessuncommondizzinessDizzinessdizzinessdizziness
Abnormalities in blood countsuncommonlow white blood cell countDrop in white blood cellsabnormalities in blood countsdrop in white blood cell count
Mucosal ulcerscommonmucosal ulcers
Loss of appetitecommonloss of appetiteLoss of appetiteLoss of appetite
Hepatotoxicityuncommonhepatotoxicity
Alopeciaalopecia
FeveruncommonfeverFever or chillsfever
Increased risk of infectionincreased risk of infection
Low white blood cell countlow white blood cell count
Gastrointestinal bleedinggastrointestinal bleeding
Pancreatitispancreatitis
Bone marrow suppressionbone marrow suppression
Malignancymalignancy
Renal failurerenal failure
Embryo-fetal toxicityEmbryo-fetal toxicity
Hypersensitivity reactionsHypersensitivity reactions
Organ damageOrgan damage
FatalitiesFatalities
Bone marrow toxicityBone marrow toxicity
Pulmonary toxicityPulmonary toxicity
Dry coughDry cough
DyspneaDyspnea
Reactivation of tuberculosisReactivation of tuberculosis
Mucosal ulcerationmucosal ulceration
Leukopenialeukopenia
GI bleedingGI bleeding
Aplastic anemiaaplastic anemia
Interstitial pneumonitisinterstitial pneumonitis
Renal impairmentrenal impairment
Teratogenesisteratogenesis
Myelosuppressionmyelosuppression
Gastrointestinal toxicitygastrointestinal toxicity
Neurotoxicityneurotoxicity
Nephrotoxicitynephrotoxicity
Coughingcoughing
Wheezingwheezing
Shortness of breathshortness of breath
Unusual bleedingcommonunusual bleedingUnusual bleeding or bruisingabnormal bleeding
Liver diseaseliver disease
Teratogenicityteratogenicity
Sun-sensitivitySensitivity to sunlightsun-sensitivity
Liver toxicityliver toxicity
Black stoolscommonBlack, tarry stoolsblack stools
Difficulty breathingcommonTrouble breathingdifficulty breathing
Yellow eyes or skincommonYellow eyes or skinyellow eyes or skin
Marked fatiguemarked fatigue
Skin rashskin rash
Stomach upsetcommonstomach upset
Elevation of liver chemistrieselevation of liver chemistries
Abnormal bleedingabnormal bleeding
Methotrexate fogcommonMethotrexate fog
Fibrosis and inflammation in the lungsFibrosis and inflammation in the lungs
Drop in white blood cellsDrop in white blood cells
Dip in production of blood plateletsDip in production of blood platelets
Stomach paincommonStomach painStomach pain or indigestion
ItchingcommonItching, rash, reddening of the skin
Joint paincommonJoint pain
Trouble breathingcommonTrouble breathing
SwellingcommonSwelling of the eyelids, face, lips, hands, feet, or lower legs
Back painuncommonBack pain
Blurred visionuncommonBlurred vision
Body and muscle painuncommonBody and muscle pain
Burning while urinatinguncommonBurning while urinating
ConfusionuncommonConfusion
Cough or hoarsenessuncommonCough or hoarseness
Cracked, dry, scaly skinuncommonCracked, dry, scaly skin
Dark urineuncommonDark urine
Ear congestionuncommonEar congestion
Loss of hearinguncommonLoss of hearing
Loss of voiceuncommonLoss of voice
Lower back or side painuncommonLower back or side pain
Painful or difficult urinationuncommonPainful or difficult urination
Pale skinuncommonPale skin
Runny noseuncommonRunny nose
SeizuresuncommonSeizures
SneezinguncommonSneezing
Sore throatuncommonSore throat
Stuffy or runny noseuncommonStuffy or runny nose
Unusual tiredness or weaknessuncommonUnusual tiredness or weakness
Weight lossuncommonWeight loss
White or brownish vaginal dischargeuncommonWhite or brownish vaginal discharge
AnxietyAnxiety
Blistering, peeling, or loosening of the skinBlistering, peeling, or loosening of the skin
BloatingBloating
Changes in skin colorChanges in skin color
ConstipationConstipation
Decreased interest in sexual intercourseDecreased interest in sexual intercourse
Difficulty in movingDifficulty in moving
Dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting positionDizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
Dry mouthDry mouth
Dryness or soreness of the throatDryness or soreness of the throat
Eye painEye pain
Fruit-like breath odorFruit-like breath odor
HeartburnHeartburn
Inability to have or keep an erectionInability to have or keep an erection
Increased hunger or thirstIncreased hunger or thirst
IndigestionIndigestion
Irritation in the mouthIrritation in the mouth
Large, flat, blue, or purplish patches in the skinLarge, flat, blue, or purplish patches in the skin
Loss in sexual ability, desire, drive, or performanceLoss in sexual ability, desire, drive, or performance
Loss of consciousnessLoss of consciousness
Menstrual problemMenstrual problem
Night blindnessNight blindness
Pain in the chest or groinPain in the chest or groin
Pain, redness, swelling, or tenderness in the arm or legPain, redness, swelling, or tenderness in the arm or leg
Red skin lesions, often with a purple centerRed skin lesions, often with a purple center
Red, wart-like spots on the skinRed, wart-like spots on the skin
Sudden loss of coordinationSudden loss of coordination
Sudden onset of slurred speechSudden onset of slurred speech
Swelling or soreness of the breastsSwelling or soreness of the breasts
Swollen, painful, or tender lymph glands in the neck or armpitSwollen, painful, or tender lymph glands in the neck or armpit
Tingling or numbness in the hands, feet, or lipsTingling or numbness in the hands, feet, or lips
Blemishes on the skinuncommonBlemishes on the skin
Skin irritationuncommonSkin irritation
PimplesuncommonPimples
Black, tarry stoolscommonBlack, tarry stools
Bleeding gumscommonBleeding gums
Blood in the urine or stoolscommonBlood in the urine or stools
Bloody vomitcommonBloody vomit
Increased heartbeatcommonIncreased heartbeat
Itching, rash, reddening of the skincommonItching, rash, reddening of the skin
Pinpoint red spots on the skincommonPinpoint red spots on the skin
Sores in the mouth or lipscommonSores in the mouth or lips
Swelling of the eyelids, face, lips, hands, feet, or lower legscommonSwelling of the eyelids, face, lips, hands, feet, or lower legs
Swelling or inflammation of the mouthcommonSwelling or inflammation of the mouth
Unusual bleeding or bruisingcommonUnusual bleeding or bruising
Bloody noseuncommonBloody nose
Continuing ringing, buzzing, or other unexplained noise in the ears
Drowsiness
Fever or chills
Blurred or change in visionBlurred or change in vision

2 additional sourcesdidn't return structured side-effect data: GoodRx, My.clevelandclinic.org.

Demographic risk groups

GroupRiskSources
PregnantContraception may not protect from pregnancyNHS, Ncbi.nlm.nih.gov
people with black or brown skindifficulty identifying yellowing of skinNHS
people with high doseincreased risk of liver or lung problemsNHS
childbearing womensevere fetal abnormalitiesRheumatology.org
patients with liver problemsliver issuesRheumatology.org
older patientstoxicityNcbi.nlm.nih.gov
female of reproductive ageteratogenesisNcbi.nlm.nih.gov
pediatricunknownNcbi.nlm.nih.gov
Pregnant patientsElevated risk of teratogenicityNcbi.nlm.nih.gov
Breastfeeding patientsExcretion into breast milkNcbi.nlm.nih.gov
Patients with chronic liver diseaseContraindicationNcbi.nlm.nih.gov
Patients with HIV/AIDSNot recommendedNcbi.nlm.nih.gov
Patients with blood dyscrasiasNot recommendedNcbi.nlm.nih.gov
Patients with renal dysfunctionNot recommendedNcbi.nlm.nih.gov
patients with kidney failurehigher riskNcbi.nlm.nih.gov
female patients of reproductive ageteratogenicityNcbi.nlm.nih.gov
male patients of reproductive ageteratogenicityNcbi.nlm.nih.gov
patients with liver diseaseincreased risk of liver diseaseNcbi.nlm.nih.gov
Patients with RAHigher risk of GI problems and mouth soresArthritis.org
Patients on long-term methotrexate therapyElevations in liver testsArthritis.org
pregnant womenadverse effectsHSS
men planning a pregnancy with their partnerno increased riskHSS
people with liver diseaseincreased risk of liver toxicityHSS

Medside aggregates publicly available side-effect information for reference only. It is not medical advice. Always consult a healthcare professional before making decisions about medication.

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