So... I had an ectopic pregnancy in January. Discovered at 6 weeks. Had surgery but they didn't manage to get it out, levels were still rising, so I had to have an injection too! Show Day 1 – 900. MTX administered. Day 4 - levels went up to 1600 Day 7 - about 1400… recommended a second injection but they agreed to wait a few more days. At day 11 they dropped to 800 Then it took 3 weeks to get to zero. I still haven't had my period and it's been like 2 months since the injection. But am no longer bleeding and felt like I ovulated last month. There are a few things I wanted to share about the MTX that I wish I’d known! 1. Bright (like NEON) yellow wee and runny poo (sorry TMI!) – I wish someone had told me, it was horrid! 2. Rest rest rest. It just knocks you out… I’ve never felt so tired in my LIFE. 3. Nutrition and folic acid: there’s a lot of confusion out there about this so I really wanted to say what I found helpful in case it’s useful for any of you: So… MTX is a folic acid antagonist. It kills the pregnancy by stripping your body of folic acid, without which the pregnancy can’t continue. The best way to help it along is to minimise folic acid in your diet – essentially do your best to give yourself a folic acid deficiency – as otherwise it’ll just strip it from the food you’ve consumed and will take longer to work. I don’t know if this is just a coincidence, but when my 7 day results weren’t quite 15% I became very strict with the diet and it really seems to have helped things along! There are 2 types of diatery folic acid: folate (found naturally in foods) and folic acid (supplements in cereal, flour etc.) If you live in a country that enriches food with folic acid I really feel for you because it makes it so hard to get any staples without it! You can check your country here: http://www.ffinetwork.org/global_progress/ Luckily the UK (and the EU generally) doesn’t do it so I could have bread, pasta etc. However American breakfast cereals are enriched as are other goods imported from countries that have an enrichment programme. The idea is to help avoid birth defects in the population but a problem when you’re being treated with MTX for ectopic... In naturally occurring foods, these have little to no folic acid: Dairy, meat (except for internal organs), poultry, fish and seafood, white flour, most highly processed foods. EVERYTHING ELSE seems to have it: grains, nuts and seeds, pulses, fruits, veg, eggs… some more and some less. Nuts, pulses and some fruit and veg are super high in it. Eggs are ok if it’s one egg here and there. Re fruit and veg – I found that going on Wikipedia for each item helps as you can find the folate content for each and figure out the portion weight (obviously some things are heavier than others – potatoes weigh more than mushrooms) to calculate what you’re getting. Another name for folate is B9. Essentially you want to get less than the RDA to give yourself folic acid deficiency! Now, they said at the hospital not to worry just not to take prenatals. But my diet is usually SUPER rich in folate! If you live on cheese and processed foods this probably isn’t an issue for you, but it was for me. In case it’s useful, here is what I ate and avoided: No pulses, nuts, seeds, peanut butter, grains (inc rice!) Marmite is very high in folic acid… avoid. As is seaweed. No veg apart from cucumbers, peppers, small portions of boiled carrots without skin and small portions of mushrooms, as all are a bit lower in folate than other veg. No fruits apart from blueberries, which are pretty low in folate. Note that oranges, citrus fruits in general and bananas are high in folate… Also – green tea is a folic acid antagonist, which is why they recommend to avoid it during pregnancy. I made sure I had at least one cup per day. I had protein-heavy meals with chicken, fish and seafood; plus a lot of cheese and dairy products. You can actually eat pretty well! Ideas – Plain yogurt with blueberries for breakfast Sandwiches with cream cheese and smoked salmon, or bacon/ham and cheese Cheese on toast Buttered crumpets (yum!) maybe with a poached egg on top You have an excuse to eat lots of steaks! Maccaroni cheese, can use a variety of cheese inc blue cheese or put in bits of meat/fish Spaghetti carbonara Fried or grilled tofu Asian style soup – chicken in coconut milk with ginger and small amounts of carrot, pepper and mushrooms with noodles Cooked fish/meat with pasta parcels or gnocchi Lobster – at one point I was so annoyed with feeling like *** I actually treated myself to some lobster! Why not eh  Ooooh and cakes, honey, chocolates etc. are all allowed I don’t actually know what vegans would do in my situation… and anyway as I said, I don’t have an evidence base to back this up so this is just what I chose to do. Oh, and no-alcohol blues can be helped with elderflower or ginger cordial to make classy fizzy drinks that you can pretend are a bit like bubbly wine. Good luck to everyone! Big hugs. It sucks, but it does end and now I get to eat spinach and liver with a pint of ale (believe it or not, I was actually excited about this!) xxx What should I eat after ectopic pregnancy?Eat fruits, vegetables, and whole grains. Drink 6 to 8 glasses of water every day, unless directed otherwise. Use a laxative or a mild stool softener if your healthcare provider says it's OK.
Can you eat after taking methotrexate?Swallow the tablets whole with a drink of water. You can take your tablets before or after food.
How long should you wait to eat after taking methotrexate?How often you take them will depend on your treatment schedule. Swallow whole with a glass of water on an empty stomach, at least 1 hour before or 2 hours after food. Avoid taking methotrexate tablets with milk products. They can make the drug not work as well.
How do you feel after taking methotrexate for ectopic pregnancy?Common side effects are:
Abdominal pain or cramping. Diarrhea. Headache. Redness, swelling, or pain at the injection site.
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What can i eat after methotrexate for ectopic pregnancy
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