I missed a couple doses of Methotrexate and I don't have more RA pain.
Awhile ago the pain in my hands increased, while taking Methotrexate, eventually I was prescribed Erelzi, which is working, my dose of Methotrexate was kept the same.
I am basically asking if Rheumatologists generally keep patients on Methotrexate when the patient is started on a Biologic/Biosimilar… read more
Biologics can take a while to start working, usually 3 months. Once the biologics start working & your RA is under control, your doctor will probably start tapering you off methotrexate.
I was on methotrexate for years then I started having fevers, which really left me on the side line and my rheumatologist changed it to Lefluetimide and I was on that for about 6 or 7 years then the current rheumatologist said that we should try Xeljanz without it and boy was I surprised to feel so much worse so rapidly. Needless to say I am back on it as that is what he told me to do if this were to happen.
Yes, typical step 2 recommendation if the Methotrexate is not causing any worrisome side effects but is not controlling the pain and swelling as well as it should, than the rheumatologist either (1) adds a biological with the Methotrexate or (2) adds a second DMARD to the Methotrexate . Either option is the appropriate recommendation based on the EULAR standards
Always follow the advice of ur rheumatologist.