This is the first time I have written on this site, I am looking for some advice please. I have had R/A since 2009 in my hands. I am on Hydroxychloroquine 400mg a day & Leflunomide 20mg a day. I had a flair up in Jan and they put my leflu up but am still in a lot of pain and very tired. Is there anything else I can do for the pain as well as pain killers. Thanks.