Hi all, haven't been on for a while but always keep up to date reading posts. I have been on Methotrexate (8tabs), for nearly a year now. The pain in my hands and feet are worse rather than better. I have developed an acne rash on my face which I presume is from the MTX. I do not feel well at all on it, totally exhausted. I also have CKD just to complicate things. Sure there are others worse out there. I go to see the Rheumatoid consultant tomorrow. I will be asking lots of things tomorrow. I need to know more and am stumped as to what to ask? Any ideas of questions which will help me? Still feel a newbie as diagnosed last year with RA. I have this reticence not to question the doc about changing me on to something that will agree with me? Sorry I am ranting a bit.