I just had a meeting with rheumatologist that has left some questions hovering in my head. I wanted to stop MTX having got the dose down to 7.5 which she says is the lowest does that can have any effect. Whilst she agreed that the MTX is probably not doing anything for my RA the wants me to keep going for 2 reasons. First because although it's not so crucial to drug longevity with tocilizumab, which I am now on, it still may help to keep the biologic working longer. This wasn't quantified so it seemed quite vague although fair enough. Secondly she said that if MTX is completely stopped it can be very difficult to resume it again if it's ever needed for different treatment in the future and that resumption can make you very sick, far more than when first starting on it. I've looked online to try and read about the second reason but cannot find any articles on this so wonder does anyone on the forum have experience of trying to resume MTX and it proving to be impossible?
She left me with saying it's my body and it's up to me what I put in it but her advice was clear. ( So far I have always followed all her advice but it's been important to understand it as far as possible )