What are your recommendations regarding methotrexate usage in patients with persistent chest CT changes post COVID pneumonia?

With the raging pandemic and the steady stream of post-COVID inflammatory/fibrotic patients, we are bound to encounter patients with such abnormalities who are on potentially pneumotoxic drugs (or need initiation).

With minimal concrete data, any recommendation is purely based on experience.

Methotrex...

No.

I would use another medicine with no effect on the lungs.