does methotrexate need refridgeration?

[rocketship]

I just started methotrexate injections and the PA at the doc's office said the vial didn't need to be refrigerated but I was just reading something online that says if it's a multi dose vial it does need to be refrigerated after opening.  Sooo, which is it?? The vial contains 4 weeks worth of medication for me.

[carolanivey]

I don't refrigerate mine, as I have the multi-dose vial with preservative. There is another type without preservative; I'm not certain if you have to refrigerate it before use, but I do know that once you've punctured the rubber seal, you throw the rest out.

If you've got the multi-dose vial like me, you don't have to keep it cold. Just make sure you wipe the rubber top with alcohol before and after you draw from it.

[txsilver]

I can say that I did not have to keep mine in the refrigerator but check with your pharmacist to be sure.