Can't sleep tonight could be for many reasons... Probably due to a really bad cold though. Is there any one that can give advice on Metotrexate? I started taking this in addition to remicade and prednisone and have been sick ever since. I was diagnosed with chrons in May of 2007 had a surgery started meds, wife left me for someone else most likely from being with someone that’s always ill. Sorry to complain but I am sure there is a positive somewhere.