A member asked:

Psa have tried mtx w /remicade& w/ humara no help methotrexate caused blood issues but worked better. now embrel/leflunomide.no relief frustrated help?

A doctor has provided 1 answer
Dr. Thomas Namey answered

Specializes in Rheumatology

MTX sc ?: Mtx causes less liver issues given sc versus oral. Also mtx has more potent metabolites that take 10 weeks to develop. You did not specify what tests where abnormal. But you suggest that mtx was given alone. Was it? Mtx and Humira (adalimumab) are a good combo for psoriatic arthritis.

Answered 6/25/2014

5.5k views

Thank

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