Question
Do you have to take methotrexate in combination with Remicade? I was wondering because I am looking to possibly have another child in the next two years and I know that methotrexate is category X for pregnancy.
Answer
HI Rosalie,
great question. MTX is recommended with Remicade to avoid developing antibodies against Remicade. If these antibodies develop, you may lose response to remicade. In your situation, I would normally switch the patient to Enbrel or Humira. Antibodies don’t seem to be as common with these drugs and they don’t absolutely require MTX. Good luck !!
