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Detailed medicine guidance

Who can and cannot take methotrexate

NHS medicines information on who can take methotrexate and who may not be able to take it.

About this information

This NHS content is written for people in England. Medicine names, availability, prescribing and services may differ in other countries.

Who can take methotrexate

Most adults and children can take methotrexate.

Who may not be able to take methotrexate

Methotrexate is not suitable for some people. To make sure it's safe for you, tell your doctor before taking it if you:

  • have ever had an allergic reaction to methotrexate or any other medicine
  • are pregnant, trying to get pregnant or are breastfeeding
  • have severe liver or kidney disease, or a blood disorder
  • have an infection
  • have mouth ulcers, or have been diagnosed with a stomach ulcer or duodenal ulcer
  • are due to have a live vaccine (this includes the live flu vaccine usually given to children)

You may have a chest X-ray and a breathing test to check your lungs before starting treatment. These tests will help show your doctor whether methotrexate is suitable for you.

View the original NHS website page ↗. Refreshed 19 August 2026.

Licensed under the Open Government Licence v3.0 ↗. MyPHU is independent and is not endorsed by the NHS.

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