Hi there, I'm 25 years old and I have rheumatoid arthritis

Patient : Hi there, I'm 25 years old and I have rheumatoid arthritis and am on the medication methotrexate. I accidentally missed my dose last week and went on to take it like normal this week, but since I've taken it I've been extremely tired, having headaches and have had times where I've been feeling like I'm shaking inside. Just looking to find out if this is because I missed a dose and if everything is ok or should I do something about it? Been extremely grumpy too! Any help or advice would be amazing. Many thanks, Kirsty
Symptoms:  Headache, shaking and tiredness
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