Low-dose oral methotrexate in refractory inflammatory bowel disease.

Academic Article


  • The purpose of this study was to evaluate the efficacy and safety of low-dose weekly, oral methotrexate in patients with steroid-dependent or steroid-refractory inflammatory bowel disease (IBD). Oral methotrexate was given weekly at 15 mg/week. The primary criterion of response was based on steroid withdrawal. Of the 10 patients with Crohn's disease, daily prednisone dosage dropped from a mean of 37 +/- 9.6 mg to 8.3 +/- 2.1 mg/day (P < 0.02); two had a complete withdrawal and four a partial response (< 7.5 mg/day). In the eight patients with ulcerative colitis, daily prednisone dose dropped from a mean of 26.3 +/- 3.2 mg/day to 12.7 +/- 2.0 mg/day (P < 0.001); three had a partial response. Adverse effects due to methotrexate were mild in both groups. We conclude that oral methotrexate may be useful and reasonably safe as a steroid-sparing agent in patients with refractory IBD.
  • Published In


  • Administration, Oral, Adult, Colitis, Ulcerative, Crohn Disease, Drug Administration Schedule, Female, Follow-Up Studies, Humans, Male, Methotrexate, Pilot Projects, Prednisone, Time Factors, Treatment Outcome
  • Author List

  • Baron TH; Truss CD; Elson CO
  • Start Page

  • 1851
  • End Page

  • 1856
  • Volume

  • 38
  • Issue

  • 10