Drug & supplement interaction

Alpha Hydroxy Acids (ahas) + Methotrexate

Methotrexate brand names: Rheumatrex, Otrexup, Rasuvo, Reditrex.

No Known Interaction
Medically reviewed by · Updated June 2026 · Pair last verified Sep 13, 2026
The bottom line No known interaction

We found no known interaction between Alpha Hydroxy Acids (ahas) and Methotrexate in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first.

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Interaction report

Alpha Hydroxy Acids (ahas) and Methotrexate

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Methotrexate and Alpha Hydroxy Acids (ahas) in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

Worth understanding: our licensed dataset holds no drug-interaction record for Alpha Hydroxy Acids (ahas) at all — not against Methotrexate, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Alpha Hydroxy Acids (ahas) safety at a glance

Alpha Hydroxy Acid... overall Use caution Topical AHAs are generally well tolerated but can irritate skin and increase sun sensitivity.
Pregnancy Use caution Limited topical use is likely low risk, but check with your doctor before use during pregnancy.
Breastfeeding Use caution Little safety data exists; use cautiously and avoid applying near the breast area.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Methotrexate and Alpha Hydroxy Acids (ahas)? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Methotrexate’s Own FDA Label Lists

This is not an interaction — none of it involves Alpha Hydroxy Acids (ahas). These are the most notable effects listed in the ADVERSE REACTIONS section of Methotrexate’s own FDA label, for the medication by itself. Knowing the drug’s own list makes it easier to work out the likely cause if something new turns up while you take both. 10 of them are worth acting on rather than waiting out — marked below.

  • Loss of vision Worth acting on
  • Bone thinning Worth acting on
  • Pain or burning when passing urine Worth acting on
  • Blood clots Worth acting on
  • Pancreatitis Worth acting on
  • A severe skin reaction Worth acting on
  • Seizures Worth acting on
  • Chest pain Worth acting on
  • A low platelet count Worth acting on
  • Kidney problems Worth acting on

Showing the 10 most notable of 45 label-listed effects — ranked by how unusual each one is across medicines generally, with serious effects weighted up.

From the ADVERSE REACTIONS section of the FDA label for Methotrexate. Read the label on DailyMed › Where a percentage is shown, it is the share of 489,806 voluntary FDA FAERS reports for Methotrexate that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Alpha Hydroxy Acids (ahas)’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Alpha Hydroxy Acids (ahas) side to compare — that is a limit of the record, not a statement that Alpha Hydroxy Acids (ahas) has no side effects.

From our Q&A

Questions About Alpha Hydroxy Acids (ahas) or Methotrexate

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Alpha Hydroxy Acids (ahas) or Methotrexate, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Methotrexate

This page covers Alpha Hydroxy Acids (ahas) only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Methotrexate page lists 82 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Apple (major), Beer (major), Grapefruit (major) and Siberian Cocklebur (major).

By severity: 7 major · 60 moderate · 15 minor.

From our pharmacist’s overview on the Methotrexate page

“The liver is where methotrexate and supplements clash most. Methotrexate (Rheumatrex, Otrexup, Rasuvo), used for rheumatoid arthritis, psoriasis, and certain cancers, can strain the liver on its own, and 38 of the 82 interacting ingredients on this list add liver risk of their own, alcohol included, which makes this a list to approach…”

Reviewed by 2 · Jul 18, 2026

Open the Methotrexate interaction page

How much people look this up

Where Alpha Hydroxy Acids (ahas) and Methotrexate Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Alpha Hydroxy Acids (ahas)
Steady interest

#949 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Methotrexate
Top 5%

#49 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions. Alpha Hydroxy Acids (ahas) is not yet covered by that licensed database, so its write-up cites publicly available medical sources directly (see the references below).
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Alpha Hydroxy Acids (ahas) reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Alpha Hydroxy Acids (ahas) and Methotrexate records this page draws on were last updated June 22, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Alpha Hydroxy Acids (ahas)

What is Alpha Hydroxy Acids (ahas)?

  • Skin exfoliation
  • Anti-aging / wrinkles
  • Acne
  • Dry or rough skin
  • Uneven skin tone and dark spots

Alpha hydroxy acids (AHAs) are a group of acids, such as glycolic, lactic, and malic acid, most often used on the skin to exfoliate, smooth texture, and reduce signs of aging. They are best studied as topical skincare ingredients and can cause irritation and sun sensitivity. Talk with a pharmacist or dermatologist before starting, especially if you have sensitive skin or are pregnant.

Naturally derived from fruits, milk, and sugarcane, or made synthetically · Topical creams, lotions, serums, chemical peels, cleansers; some products are taken orally

An interaction check asks whether these two react with each other — it does not ask whether Alpha Hydroxy Acids (ahas) is a good idea for someone in your situation. Here is what our Alpha Hydroxy Acids (ahas) record says about it on its own.

Alpha Hydroxy Acids (ahas): dosing

There is no single standard dose for AHAs. The right amount depends on the specific acid, the product strength (concentration), and the formula's pH. Over-the-counter skincare products usually contain lower concentrations, while professional peels use much higher ones.The best approach is to follow the directions on your product label and start slowly, using it less often at first to see how your skin reacts. A pharmacist or dermatologist can help you choose an appropriate strength and routine.For oral AHA products, a reliable proven dose has not been established, so check with a healthcare professional before use.

From our Alpha Hydroxy Acids (ahas) monograph — the full record covers uses, side effects and every documented interaction.

Read the full Alpha Hydroxy Acids (ahas) monograph & all interactions
Medication

About Methotrexate

What Is Methotrexate Used For?

Brand names: Rheumatrex, Otrexup, Rasuvo, Reditrex

Methotrexate treats a wide range of serious conditions. In cancer care, it is used for acute lymphoblastic leukemia, non-Hodgkin lymphoma, osteosarcoma, breast cancer, head and neck cancer, and gestational trophoblastic neoplasia (a rare tumor related to pregnancy). It is also used to prevent and treat meningeal leukemia (cancer affecting the lining of the brain and spinal cord).

Outside of cancer, methotrexate is prescribed for adults with rheumatoid arthritis (RA), children with polyarticular juvenile idiopathic arthritis (a form of childhood arthritis), and adults with severe psoriasis that hasn't responded well to other treatments.

Most-Reported Side Effects for Methotrexate

From FAERS, the FDA’s public side-effect reporting system (489,806 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Rheumatoid arthritis 42,798 reports
Arthralgia 40,830 reports
Fatigue 33,049 reports
Nausea 28,999 reports
Joint swelling 25,026 reports
See full Methotrexate drug information
Keep checking

Other Drugs & Alpha Hydroxy Acids (ahas)

Browse every other medication we’ve checked against Alpha Hydroxy Acids (ahas) — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
0Moderate
0Minor
2,829No known interaction
2,829 No interaction
No interaction 2,829 drugs checked — show the list

We also checked Alpha Hydroxy Acids (ahas) against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Alpha Hydroxy Acids (ahas) list.

See the full Alpha Hydroxy Acids (ahas) interactions page
See every supplement checked against Methotrexate, ranked by severity
Evidence & sources

Alpha Hydroxy Acids (ahas) References

The 2 sources that drive our Alpha Hydroxy Acids (ahas) monograph — publicly available pages from reputable medical and government organizations. Every link was verified to work before publishing. Alpha Hydroxy Acids (ahas) is not covered by the licensed Natural Medicines interaction database, so its page cites these public sources directly.

  1. Alpha Hydroxy Acids — U.S. Food and Drug Administration (FDA) Source
  2. Chemical Peel — Cleveland Clinic Source

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Alpha Hydroxy Acids (ahas) and Methotrexate Together: Common Questions

Is it safe to take Alpha Hydroxy Acids (ahas) with Methotrexate?
We do not list a known interaction between Alpha Hydroxy Acids (ahas) and Methotrexate. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Does Methotrexate interact with any supplements?
Yes. Methotrexate has documented interactions with 82 supplements in our database — Alpha Hydroxy Acids (ahas) is not one of them. The Methotrexate interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Where next

Keep Exploring

Alpha Hydroxy Acids (ahas) monograph Uses, safety profile, and every drug interaction in one place Methotrexate drug information The full plain-English guide to this medication Methotrexate supplement interactions Every supplement checked against Methotrexate, ranked by severity Supplement interaction checker Check any supplement or product against your medications Browse medications A–Z Every drug we’ve checked against herbs & supplements References The 2 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Methotrexate and Alpha Hydroxy Acids (ahas)?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.