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Re: Smita

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Hi Smita:

Welcome to the group - this is a great place for

information, as well for sharing with caring and

supportive people. We truly know and understand what

you are going through.

Yes, the RA itself does have a fatigue component, and

it can get very bad, especially when you are in a

flare, or exacerbation of symptoms. I was on

Plaquenil for 2-1/2 years when I was first diagnosed 8

years ago, and did really well with it, but it

gradually began to not work, and I was switched other

meds, and finally to Mtx. I have been on Mtx now for

about 4-5 years, and it has helped. Yes, it could

increase your fatigue, but usually for me that only

happens in the first day or so after my Mtx dose, then

I am just back to the " usual " fatigue.

It must be very hard to take care of young children,

and deal with RA. My kids were 14 and 11 when I was

diagnosed, so pretty much able to take care of

themselves if need be when I was in more pain. My

husband is also very supportive, but it did take some

reading of information on RA (I emailed him as it was

easier than just talking and talking to him - his eyes

would glaze over lol) for him to really get it.

The first few months/years are absolutely the most

important time to really get started on aggressive RA

treatment, so yeah! to your doctor for doing so. My

grandma had RA and back then they would wait for her

to be in pain, then give her medication, and then stop

when she felt better, and she was quite crippled by

it. But the chances of this sort of thing happening

to me, I hope, are made much less by the fact that my

doctors have always treated aggressively.

Just remember also, with the Mtx to take Folic Acid,

very important, and get blood work every 8 weeks to

check for any increase in liver enzymes. This has

never happened in my years on Mtx. Also, I take

additionally another supplment called Milk Thistle

which further protects the liver.

Anyway, hope this helps - there is life after RA, with

the right medications and treatment. Hang in there -

Kathe in CA

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