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Table 1 Studies on prevalence of MTX intolerance in RA patients

From: Methotrexate intolerance in Rheumatoid Arthritis

S. No

Country

Sample Size (Females/ Males)

MTX Intolerance (Percentage)

Most Frequently Occurring Complaints

Major Limitations

1

Netherlands

[52]

291 patients (Female- 181, 62.19%)

11%

Nausea ( 32.0%), Abdominal Pain (11.3%) and Behavioural Symptoms (16.5%)

Percentage of patients which discontinue MTX due to intolerance not indicated

2

Pakistan

[38]

150 patients (Female- 150,

100%)

33.3%

Behavioural Symptoms (44%), Abdominal Pain (34.66%), Nausea (34%) and Fatigue (31.1%)

Female predominant small sample size

3

Saudi Arabia

[49]

185 patients

(Female- 158, 85.4%)

39.5%

Behavioural Complaints and Refusal to take MTX (58.37%), Nausea (37.84%)

Female predominant small sample size, mostly receiving oral MTX

4

Brazil

[53]

120 patients (Female- 103,

85.83%)

21.6%

Nausea (92.3%), Abdominal Pain (46.1%) and Behavioural Symptoms (96.1%)

Small sample size and single institutional study

5

India

[54]

150 patients (Female- 120, 80%)

14%

Nausea (31.7%), Abdominal Pain (14.6%), Nausea as an Anticipatory Symptom (12.2%) and Vomiting (12.2%)

• Inclusion criteria not been clearly stated

• Small sample size