DoubleD43, I am also very much concerned about liver complications. My father had Crohn's disease and suffered liver failure after many years of treatment with other medications. I chose, however, to start the methotrexate anyway. I know that my doctors will continue to monitor my liver function and will stop at any sign of problem. To me the choice between constant pain and worsening RA vs. quarterly blood test was a simple one. I realize that each person has their own views on this powerful drug and is entitled to their own opinions. It is disconcerting to know that we are faced with so many treatments that can potentially be worse then the RA.
So far I have only been on methotrexate for 2 weeks, starting with 3 pills, then 4 and from this Wednesday I will take 5. I take it on my first of two days off just in case. I have not had any noticable side effects with my first two doses and hope that I do not on 5 pills. I do take 1 mg of Folic acid everyday as well as 10 mg of prednisone, calcium and vit D. The prednisone is actually far more scary to me then the methotrexate. I was told that once I was on methotrex I could start tapering off my prednisone but have yet to be successful at that.
I have not experienced any hyper activity, however, I did feel so much better the week following my first dose that I got far more done then I had in a very long time. I was told that it could take up to six weeks for the methotrex to make any difference so I don't know if it was all just coincidence or if it was real. I did not feel the same way after the second dose.
I wish you luck and hope that these symptoms subside for you soon.
S