You should avoid or limit the use of alcohol while being treated with these medications. It is mainly used to treat severe forms psoriasis, rheumatoid arthritis and certain types of cancer. Avoid alcohol completely as methotrexate and alcohol can cause irreversible damage to the liver leading to cirrhosis. Check with your doctor or pharmacist if you have concerns or are uncertain what products may contain caffeine.Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. In such instances, continuing the drug can be dangerous but stopping it generally causes the count to return to normal.Some aspects of your lifestyle may need to be changed while taking methotrexate. But your dose should never be lowered - nor discontinued - without the guidance of your physician. For example, oatmeal eaten directly before the pills are swallowed prevents stomach upset for some.

Learn which foods from the Mediterranean diet can help fight inflammation caused by arthritis. Relief of symptoms is gradual and begins in 3 to 6 weeks after starting the medicine. Do not stop using any medications without first talking to your doctor.Caffeine may reduce the effectiveness of methotrexate in the treatment of arthritis. ... You may also be told to take folic acid 24 hours after receiving a dose of methotrexate. The University of Tennessee Medical Center advises those who experience diarrhea as a side effect of methotrexate to reduce their consumption of or completely avoid high-fiber foods, including raw fruits and vegetables.According the the National Institutes of Health, methotrexate can interfere with the absorption of folate, the natural form of folic acid. Therapy combined with methotrexate may reduce symptoms of arthritis.

Do not take extra doses for symptom relief. It works well for these conditions if you take the medicine just once or twice a week, and in smaller doses. 9. Do not take more or less medicine than ordered. If your condition is especially severe or you take certain medications, like methotrexate and acitretin, your doctor may tell you to stay away from alcohol completely. The use of methotrexate is not advisable during pregnancy. However, it is also used to treat other conditions like rheumatoid arthritis and psoriasis. In general, try to avoid having blood tests done directly after taking your dose, since any changes caused by the previous dose may be misinterpreted. Contact your doctor if your symptoms worsen or your condition changes during treatment with these medications. The drug can cause liver damage, kidney damage and decreased blood-cell counts, so tell your doctor about any liver, kidney or blood conditions if he's considering this medication for you. You may want to clarify with your GP on the types of foods they were advising you to avoid, or if they were advising avoidance of supplements as mentioned above. Your doctor can advise you. Sudden discontinuation of the drug may put you at risk for a flare of your disease; so your doctor will want to monitor you appropriately.However, it is important for you to be aware of any symptoms of possible side-effects so that you can report them to your doctor promptly - and appropriate action can be taken if necessary.When you are started on methotrexate, ask about your doctor's practice for monitoring and follow-up.

Do not stop using any medications without first talking to your doctor.Methotrexate may cause liver problems, and using it with other medications that can also affect the liver such as ethanol may increase that risk. Use of this web site constitutes acceptance of the LIVESTRONG.COM However, methotrexate may reduce your ability to fight infection. Highly seasoned foods may increase the chances of stomach irritation. Available for Android and iOS devices. Avoid eating dark leafy greens, broccoli, peas, beets and beans, especially kidney, black, lima and lentils.Methotrexate is a strong drug with a host of possible side effects and warnings. Follow your rheumatologist’s directions.