The Health Quality and Safety Commission (HQSC) have recently sent out guidelines1 for the safe use of methotrexate for Primary Care. This guidance includes the following key points:

  • Prescriptions must specify a day of the week written in full on which the dose is to be taken
  • Consider specifying only 2.5mg tablets to be dispensed
  • In clinical notes and referral letters, specify the required laboratory patient card formethotrexate is enclosed. See the methotrexate Bulletin for the printable Amonitoring and the doctor responsible for follow-up
  • Provide patient information specifying weekly dose, day of the week, storage and handling advice and potential adverse reactions.

See the methotrexate bulletin(external link) and patient guide(external link) for more information about methotrexate.

1. link)

Last modified: