If you’re on methotrexate it’s recommended that you avoid live
vaccines and only drink alcohol in small amounts. Methotrexate can affect fertility and is likely to harm the baby if taken
during pregnancy or while breastfeeding.
Before you start taking methotrexate, your healthcare team will discuss other treatment options with you. You'll have a blood test and may have a chest x-ray and breathing tests.
While taking methotrexate, you'll have regular blood tests. Some drugs interact with methotrexate, so you should discuss any new medications (including complementary medicines) with your doctor before starting them and always tell any other doctor treating you that you’re on methotrexate.