Hi all I have been on 10mg methotrexate plus naproxen for 8 months. I was meant to go up a dose by ringing the rheumies secretary but I can never get through, literally. Anyway I have had no improvement in my joints and I am worried. I am 24 and have it in all my joints. I am in agony 24/7 I can't sleep I am anxious. The rheum doesn't seem to care and gives me a 2min appointment. What should I tell him at my next appointment?I am worried he will increase me by 2.5 mg for 6 months and that is it. Help!