Choice from my Rheumatologist..After taking sulfasalazine for 3 months with no decreased inflammation.
1. Increase SSZ to 6 a day and try for longer.
2. Switch to Methotrexate or Leflunomide
3. Switch to Enbrel
I've had RA since the 1990's and have always tried to take the least toxic meds.. So I've used hydroxy, minocycline..Plus nsaids and steroids.
I worry about the side effects particularly as I'm now older and our NHS is deteriorating in elderly care.
I think I'll try increasing the ssz for a while, as it seems the least toxic choice but if that doesn't work I absolutely don't know.
Any suggestions or advice please?