After many many years with arthritis controlled by drugs, my sister has now been housebound for ten years and relies on drugs to function. Recently she had a fall and has had a steel plate inserted in her broken femur. Not nice, but at least she has a very positive outlook on life and I love her to pieces. Anyway I don't want to talk so much about my sister, especially as she is not here to defend herself.
Yesterday I went through the range of drugs she has, above and beyond the MTX. I feel very sorry for anyone who is taking drugs that correct the problems other drugs cause. With MTX you need to take folic acid, as almost everyone here will know. That is caused because the way MTX works is to inhibit the body's natural ability to produce folic acid. On top of this she is taking thyroid drugs and...
Every drug has side effects, hopefully small, but inevitably side effects build over time. Sadly the goal of main drugs for arthritis is simply to mask the pain rather than cure the problem. My sister's fall was made worse by osteoporosis. I think that if, years ago, she had had the benefits of my research & recuperation then she would be a much healthier person.
Of course, like me she has a very stubborn streak and that means she would not listen to my advice, as probably I would not listen to hers. I cannot influence my sister very much. But please anyone here who has an open ear and serious arthritic problems. Don't stop your meds, but do get your diet right. For my money that means stop the gluten, stop the dairy, stop the meat & fish, stop the oil, stop the nightshades incl tomatoes and potatoes. Replace them with fresh veg and salad every day. It takes three months for the gut to repair itself, at least. As the gut repairs then the joints can, with rest, to a larger or lesser extent repair themselves.
If the diet changes help you, then at some point you might be able to reduce your meds, with suitable advice from your doctor. Every time you do that your body will naturally be able to heal itself more effectively.
Actually I am in an argy-bargy with my doctor & rheumy who think, "ah the MTX is now working, so let's increase the MTX." Stuff that for a lark. If I want very bad inflammation and excruciating pain then I can have a normal dough pizza with cows mozarella cheese and a tomato base. This is a perfect storm for me, imo, and I would be housebound for a week at least.
A large dose of MTX and other dmards over several months is the doctor's recommendation. Mask the problem and create other problems later in life? No thanks!