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    Changing medications
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    SallyDStanley posted:
    I have been on Plaquinel since December 2011 and I am still having problems. I now have big lumps on my wrist, knee, and ankle. I recently had a sonogram and I have RA in both wrists, knees, ankles, and recently my hips have been troubling me. I also have had trouble with the lining of my heart and lungs.

    Wednesday, I am going back to the doctor and she said she wanted to change my medicine. I want to get on something that has a generic because my insurance offers free generics but I also want it to be an aggressive medicine. Any ideas?
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    Scott Zashin, MD responded:
    In my patients with moderate to severe RA, methotrexate is the standard of care. It can have some side effects related to lungs so that would need to be considered. Imuran is also a generic FFDA approved med for RA that could be discussed with your doctor.


    Helpful Tips

    help with methotrexate side effectsExpert
    I recommend all my patients on methotrexate take at least 1 mg of Folic Acid daily to help decrease the risk of side effects. In those ... More
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