I was diagnosed With seropositive RA just over a year ago and am currently on 17.5mg methotrexate per week, plus folic acid 6 days a week and 400mg Hydroxychloroquine per day.
I had my scheduled rheum consultant appointment today and was really taken aback when she suggested I might prefer to change to methotrexate injections instead of the oral version I am taking atm.
Last appointment we had agreed that I would drop my oral dose from 20mg back to 17.5mg as I was suffering side effects from the inc dose. No side effects on 17.5mg.
Today she asked if I had had any flares recently and I told her all I had had was pain in one or two joints for 24 hours at a time which then remained swollen and a bit stiff for a few days. This happens about once a month.
I asked about my inflammation levels which she agreed were 'borderline' - CRP mostly below 5.
She said there was no hurry to change but will inform the rheum nurse so that I can contact her at any time to be 'trained'.
I don't have any real problems with transferring to injections and can see that I would have to if my dose needed to be increased. Just not sure if it is necessary. Or will I inevitably need a higher dose eventually?
Would be very grateful for any advice or comments from others who have experienced similar please?