Hey guys. So I've been taking methotrexate injections for about 14 months now. Originally, it seemed to be helping despite prolonged periods of fatigue and nausea. I've been dealing with episodes of episcleritis that have progressed into scleritis and undiagnosed but related problems in my right shoulder and lower back for about six years now. I used to experience episodes of Scleritis, which is my most frequent problem to flare, about six times a year. My first year of methotrexate brought that down to just two, but, in the past five months, I've experienced three flare ups. What form of treatment usually comes next? I appreciate any feedback anyone has to give! At this point, I'm willing to try anything.