Combination of Arava and Methotrexate safe?

My wife is in India and currently under the treatment of a rhematologist there. she is taking 7.5 mg of methotrexate every week. She is due for a follow up visit and the doctor had suggested that he may add Arava to Methotrexate. I have read articles to the effect that these two medicines don’t go well together. Grateful for your advice.

Can Rheumatoid Arthritis affect the eyes?

My mother is 62 y.o and dx’d with RA with nodes on her fingers, and had a previous MRI noting disc dissecation in her L spine. Recently, she woke up with a detached retina, hemorroraging in her eyes and two large floaters. She has seen by her Internal, and and opthalmalagoist who told her they needed to wait for the hermorrhging to stop  but then they decided not to proceed with any surigical treatment. They gave her a new RX. She is in a lot of pain and her Internal is more concerned about addiction and not treating her pain. – She is still very active but i noticed she is getting very tired all the time. – Trying to find information about RA affecting the eyes is very slim. That is essentially what they told her is that the inflammation is causing her eye problems. That is fine and acceptable but I am trying to find someone who can give us not only a second opinion but a better idea of the severity of her dz. To boot she has GI problems, diverticulitis, IBS, and gastritis limits the types of medications she can use. My mother stated that two years ago the rheumatologist told her her condtion was not severe. They did offer her Humera shots or IV, is there not a tablet form of this medication? I want to make sure as her daughter that we take the best care of her and understand the severity of her condition and the “possible” course so we can be set to care for her in the upcoming years.

Pregnancy and Methotrexate

I was taking methotrexate 8 pills 1 x a week at 2.5 mg.  I began last August and stopped this past March.  I want to get pregnant but I have some concerns.  I have been reading on the internet that there have been reported cases of birth defects such as spina bifida in women who took methotrexate prior to conception. Is waiting 6 months prior to conception long enough to get the drug out of my system?