Would you stop methotrexate or leflunomide if MCV increases after starting the medication with no other parameters of anemia or leukopenia?
Answer from: at Academic Institution
I would not recommend stopping the medication based on one single parameter in the blood count. I would repeat it, check for anemia or other cytopenia, and depending on if the MCV increased or decreased, potentially send a further workup for iron ferritin, vitamin B12, and folic acid.
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at North Houston Rheumatology Associates Thank you, Dr. @Schwartzman-Morris, but what if MC...
Thank you, Dr. @Schwartzman-Morris, but what if MC...