I have recently been switched to Leflunomide from Methotrexat.
My rheumatology department at the hospital prescribed me a one off prescription Leflunomide with Sulphasalazine and Hydroxychloroquine and wrote to my GP that I should be prescribed this on a repeatedly on an ongoing basis.
I visited my GP this morning who said the instruction to them from the hospital was unclear and that they could not prescribe it off their own bat because their computer system comes up with a warning that this combination is toxic to the liver, so they need a clearer instruction from the hospital saying this combination is required.
I am finding this disturbing naturally. Does anyone know if this combination of drugs is always toxic to the liver? Is it therefore normal practice to ever prescribe this combination of drugs?
I have left a message on the rheumatology helpline at the hospital about this but they can often be pretty slow about getting back to me.
Any information any of you had would be very welcome and many thanks for your help