At what level of renal impairment do you typically reduce or avoid methotrexate in your rheumatology practice?

At what level of renal impairment do you typically reduce or avoid methotrexate in your practice?

• Reduce dose if eGFR < 60 mL/min
• Reduce dose if eGFR < 50 mL/min
• Reduce dose if eGFR < 40 mL/min
• Reduce dose if eGFR < 30 mL/min
• Avoid use if eGFR < 30 mL/min
• Reduce dose if eGFR < 20 mL/mi
• Avoid use if eGFR < 20 mL/mi
• Avoid use if eGFR < 10 mL/mi
• Avoid in patients receiving dialysis
• Other