Many DMARD options are avaialble to treat RA including methotrexate, Arava (leflunomide), sulfasalazine, and biological agents. Many of these medications require time to work (which can be several months) and require dose titration to find the efffective dose. It is Important to communicate your symptoms to your rheumatologist and telling them that you are still having these symptoms. Sometimes even higher doses of sulfasalazine are required to control symptoms. Other medication options may also be needed either alone or in combination with the sulfasalazine.
About Clifton Bingham, III, MD
Professor of Medicine
Director - Johns Hopkins Arthritis Center