I saw rheumy doctor at hospital yesterday and he went through my recent x rays with me. My hands, (wrist and thumb joints) are quite bad and my feet and knees are showing "degenerative changes" too. He is arranging for me to see a physiotherapist to help with my general problems and also a specialist physio for my hands (which are very bad) However, although I said I don't feel any better than I did 2 mths ago at last visit, he said he thinks the sulphasalazine and mtx injections are getting it under control as my bloods have improved. He thinks that fatigue caused by pain is effecting my general well being and has (to my astonishment) prescribed seroxat anti-depressant and also (to help me sleep without pain) a small dose of amitriptyline to take mid evening. I DO feel very down with the RA and also other problems recently but did not recognise it as depression as such. Has any one elses Rheumy prescribed this combo? Thanks x
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