I have been on MTX for 6 weeks now and whilst didn't expect miracles early on as I know it can take 12 weeks. My Ra has got much worse and does so almost daily. I can manage about 4 hrs out of bed.Just need to sleep and take pain killers. Should I contact the rheumy, and ask for something in addition. I am on 20 mg of Mtx Rheumy said he wants me on 25 mg asap. Any thoughts.