What's The Next Step.

[mole147]

I have been on Mtx since September 2015 for RA or Psa with very little side effects and some improvement. It has been increased from 15mg to 20mg but I have noticed no difference in pain levels (mainly hands wrists and ankles). I am going to see the Rheumy on March 10th and I was wondering what is the usual next step. Do they normally increase the Mtx, add another medication or change the medication completely?

I am also going to participate in the NOAR research programme at the NNUH. It seems a logical thing to do as your own experiences might help someone else in the future. Let's try and beat this disease!

Keep well out there.

[oldtimer]

"Normally" is not a word that springs to mind with anything to do with RD! It depends on your rheumy whether he/she increases the methotrexate or adds in something else. You could think about changing to injections if you are on oral methotrexate - it is more effective as less is lost than during absorption from the gut. Have a look at the treatments options on the NRAS site for other drugs to help.

[Tee-Cee]

Are you really me, I've been on Mtx since Sept, my rheumy is torn between ra or psa, I am on 20mg (injection though), I also have pain and swelling still, but not quite as bad. So I have decided you must be me. 😀😀

[Tee-Cee]

I also have a hospital appointment on 10th March, this is so uncanny.

[mole147 in reply to Tee-Cee]

Not at Norwich and Norfolk!!