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Which Is A More Effective (better) To Take With Methotrexate. Is It Hydroxychloroquine Or Leflunomide?

A myRAteam Member asked a question 💭
Port Hope, ON

Methotrexate no longer effective without adding something else.... which is more effective- leflunomide or hydroxychloroquine?

April 27, 2024
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myRAteam

Based on the context provided, there isn't a direct comparison in the effectiveness between hydroxychloroquine and leflunomide when used in combination with methotrexate for the treatment of rheumatoid arthritis. Each combination has its own benefits and potential side effects:

1. **Hydroxychloroquine and Methotrexate** Show Full Answer

Based on the context provided, there isn't a direct comparison in the effectiveness between hydroxychloroquine and leflunomide when used in combination with methotrexate for the treatment of rheumatoid arthritis. Each combination has its own benefits and potential side effects:

1. **Hydroxychloroquine and Methotrexate**: This combination is often used in what is known as triple therapy, which includes sulfasalazine. It's a common choice for many patients who can't afford or tolerate biologic medications. Hydroxychloroquine is known for its role in decreasing the activity of the immune system, which can be beneficial in treating rheumatoid arthritis.

2. **Leflunomide and Methotrexate**: Studies have shown that the combination of leflunomide (Arava) and methotrexate is safe and efficacious for the treatment of rheumatoid arthritis. This combination can provide improved clinical benefits for patients who continue to have active disease despite maximal doses of methotrexate alone.

The choice between these combinations can depend on individual patient factors, including other health conditions, tolerance to medications, and specific treatment goals. It's important to discuss these options with a healthcare provider to determine the most appropriate treatment strategy.

April 27, 2024
A myRAteam Member

We're all somewhat similar, and yet can respond differently to these meds.. Bah humbug!

April 27, 2024
A myRAteam Member

My hubby's sister was on ONLY MTX then had to add Orencia. Everyone's DNA is different. Sorry, that is all I know. Hubby was on Cimzia and began to reject it. NOW, only on MTX. Blood work next week. We will see how it goes.

April 27, 2024
A myRAteam Member

I've been on both and it didn't work. So now I'm on Orencia.

April 27, 2024
A myRAteam Member

That's good to know your biologics dont give you side effects

April 29, 2024

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