Yes: If you have swelling or dynovitis you will require something stronger than plaquenil (hydroxychloroquine). The Prednisone should also be tapered. If this cannot be done without increased disease problems you will require stronger medication.
Answered 4/9/2016
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Many different possibilities: Annette, with rheumatoid arthritis, fatigue, and swelling there are many different possible avenues to follow. These different avenues will depend on your past history, past medicines tried and current and past laboratory values.
Answered 3/30/2014
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