Methotrexate Webinar

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If your family has questions about methotrexate, you’re not alone! In fact, most families in the pediatric rheumatic disease community have questions about this form of treatment; what are the long-term effects of Methotrexate? Which is more effective, oral or injections? My child feels sick with methotrexate, what can I do about it? Hear from patient/parent speakers, Abby and Amy Mazzone, about their lived experience with Methotrexate. Then, hear from pediatric rheumatologist, Dr. Jaime Guzman, as he reviews the research behind methotrexate use in children (when and why it’s prescribed), possible side effects and more.

Time Stamps

0:00 Opening remarks Jennifer Wilson, Methotrexate Webinar
2:03 Introduction about Cassie + Friends organization
2:48 Thank you to the sponsors: Nicola wealth, Abbvie, Amgen, Roche, Sobi
3:13 Information how to watch past sessions
5:10 Information about support network for JIA kids’ parents
5:50 Introduction of the speakers: Amy Mazzone (parent guest speaker), Abby Mazzone (patient guest speaker), Dr. Jaime Guzman (Pediatric Rheumatologist BC Children’s Hospital)
8:20 Opening points from Abby and Amy
9:40 Abby’s diagnosis and story
11:10 Abby began taking Methotrexate
17:25 Abby started the Methotrexate as injections
23:00 Tips from Abby to tolerate the injections
27:00 Pros and cons of taking Methotrexate shared by Abby
32:05 Importance of the blood work while being on Methotrexate
35:00 Introduction of Dr. Guzman
36:15 Opening points from Dr. Guzman
37:20 Conditions which Methotrexate is used for
37:50 A common story in the clinic
38:52 The basics of JIA
41:20 How Immune system works
42:55 Pros and Cons of JIA treatments
45:34 Pros and cons of no treatment
47:20 Treatment balance
49:17 Methotrexate History
52:05 Methotrexate is kind of chemotherapy
53:15 Dr. Guzman’s perspective on taking Methotrexate
55:38 Methotrexate Pros
57:50 Methotrexate Cons
59:12 How large Methotrexate risks are
1:00:30 Methotrexate intolerance
1:02:25 OPT-JIA Trial- Study to test ondansetron to prevent Methotrexate intolerance
1:04:47 UCAN Ride4kids to raise awareness about personalized medicine for pediatric arthritis
1:06:52 Opening points of Q&A session
1:06:55 Question to Dr. Guzman: Why Methotrexate is used prior to biologics, why just not start with biologics
1:10:24 Question to Abby: What do you like to have for breakfast the morning after you take Methotrexate
1:11:05 Question to Abby: Do you have many side effects the morning after you take Methotrexate and how long they last?
1:12:12 Question to Dr. Guzman: Are itchy feet and hot/cold sweats known as side effects of Methotrexate?
1:14:14 Questions related to reducing anticipatory nausea or how to deal with anxiety will be addressed by email and also a link to the past session related to behavioral depression will be shared.
1:14:43 Question to Abby and Dr. Guzman How common is dizziness with Methotrexate
1:15:30 Question to Dr. Guzman: Which administration is more effective: oral or subcutaneous?
1:17:25 Question to Abby and to Dr. Guzman: Have you heard about potentially doing injection in the stomach instead of arm?
1:19:24 Question to Dr. Guzman: When you increase the dosage of Methotrexate should you expect the side effects to be worse?
1:20:56 Question to Dr. Guzman: Can a child be on Methotrexate too long?
1:22:18 Question to Dr. Guzman: How Methotrexate support one another and how they work together?
1:23:50 Question to Abby: How do you feel with the addition of Humira?
1:25:30 Question to Amy: What is your advice on talking with a rheumatologist or a nurse when you’re feeling unsure, or questioning whether Methotrexate works or it’s been too long
1:27:25 Closing remarks by Jennifer Wilson
1:29:00 Gratitude to all speakers
1:29:07 Information about a survey and next scheduled sessions
1:30:45 Information how to support and donate to Cassie+ Friends