Have little flares of various joint of my hands. They last 24-48 hours and since starting Mtx 15mg and hydroxychloraquine over15 months ago, are very mild and infrequent don't interfere with my driving as they used to. When saw consultant recently she suggested I increase dose of Mtx to 20mg weekly as she could see the swelling and redness. My pain scale was a possible 1.5-2. My ESR and Crp are always normal.
The thought of increasing Mtx took me aback. I've had pain of 8 in hands and shoulders so this little flare was incidental to me and knew the reason why It had occurred (work related stress).
Others on this site have seriously bad flares so mine to me was inconsequential, should I increase Mtx and risk potential side effects when at present none or go with an increase dose and completely annihilate the flares.
She was leaving decision to me.
Any rational for increasing dose or maintaining the status quo would be gratefully received.