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Real members of myRAteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A myRAteam Member asked a question 💭

I've been diagnosed with Rheumatoid arthritis, and Plantar faciitis. I also do have IBS and PCOS.
I did start with Methotrexate, then became really ill. So, I've spoken with the doctor and no longer take it. Now I'm waiting for the nurse to give me a call, and send my prescription over for Leflunomide.
Would anyone have any advice to do with this medication?

April 26
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A myRAteam Member

I took it for a few days and my back broke out in hives but that can be devated because I put something on my back and then used a heating pad but the hives scared me so I stopped taking it. I experienced itching too.

April 27
A myRAteam Member

After submitting the post above, my wife reminded me that I had a good deal of itching on my arms and back for 5 or 6 weeks after first taking leflunomide. It was nothing severe, but just something of a nuisance. Over time, as my body got accustomed to the new drug flowing through my system, the itching disappeared. I’ve since had no recurrence.

April 27
A myRAteam Member

I've been on Luflonomide since October as the Methotrexate stopped working for me & I've had no issues/side effects.

April 30
A myRAteam Member

I’m a 78 year old male diagnosed with RA in 2023.

Methotrexate was the drug my doctor initially prescribed. However, I had a very severe rection to the first dose - hives, swollen tongue, etc. - within hours of administration and my doctor quickly replaced the methotrexate with leflunomide.
(One 10mg tablet daily).
My pain and swelling from RA diminished very quickly over the ensuing 7 or 8 days and within a couple of weeks I felt close to ‘normal’.

I’ve been on leflunomide now for 2 and 1/2 years and have had no recurrence of the debilitating pain and swelling I had prior to taking it. Leflunomide has been almost magical for me. I’ve read of persons who’ve had various side effects - digestive issues, sleep issues, etc. - but I’ve experienced nothing of the sort.

I do find, however, that I fatigue easily and also have difficulty maintaining my weight - steady loss over time - despite a thorough strength and aerobics routine at the gym 4 to 5 days per week. We suspect this has less to do with leflunomide, but more to do with the RA, although some weight loss has been reported by others using leflunomide.

I hope some of this is helpful in some way for you.

April 27
A myRAteam Member

A lot of people switch to leflunomide after not tolerating methotrexate, so you’re not alone in that. It can take a few weeks to notice benefits, and regular blood tests are important to monitor how your body responds. Some people experience mild side effects at first, but they often settle with time. Staying in close touch with your doctor and reporting anything unusual early really helps.

April 27

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