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DMARDS

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Can someone explain the progression of DMARDS medication?

I have gone thru all the usual oral meds and either they are

ineffective (cox-2 inhibitors) or I am allergic. The only one

that really helped my pain was Placquenil, but developed an

allergic reaction. Same with Quinacrine, Mobic and others.

I then started Methotrexate weekly injections (avoided the oral

route because of GI problems) and initially had some relief.

After a couple months the pain crept back again, then my liver

functions tests were off so the dose was decreased slightly.

LFTs are still off so now rheumy added leukovorin. I don't

feel any better after 2 weeks and am wondering what the next

step may be. If I don't get some relief I will be considering

fusion of some finger joints. This scares me because I would

lose more time off work and concerned about loss of function/

future employment issues. I'd appreciate any ideas and info on

fusion of finger joints

Joanne

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