On the 19th OH has an appointment with one of the is rheumatology nurses to review how things are going.
We were told we needed to give the methotrexate 12 weeks, at this appointment it will be 13 weeks on oral methotrexate, plus 3 weeks on methotrexate injections (2 at 20mg and one at 25mg) - so a total of 15 weeks.
If anything, the RA is worse than ever. Joint pain and stiffness are horrendous, as is fatigue and general ill feeling.
My question is, what can we expect from this appointment? To me, it seems that methotrexate alone is not working, and at the very least something else needs to be added in. Can the nurse prescribe a new drug? If not do we then have to wait another 6 weeks to see the consultant again? Or is the nurse just likely to say 'You've only been on the injections a few weeks you need to wait longer'?
Also, there's a really important family event coming up that involves spending the whole day on his feet. I'd it worth asking for a short course of steroids to get through it? Or will they just say no?