23rd February 2024

A 38-year-old woman presented to the rheumatology clinic with severe pain in both hands for the past month.

A 38-year-old woman presented to the rheumatology clinic with severe pain in both hands for the past month. She describes the pain is worse in the mornings and improves with activity. A blood test is performed which reveals an anti-citrullinated peptide level of 30 EU/ml. She is started on weekly methotrexate tablets.

Select one option which correctly describes an element of the monitoring required when starting Methotrexate treatment.