# No more methotrexate
**URL:** https://discussion.livingwithpsoriaticarthritis.org/t/no-more-methotrexate/4203
**Category:** General
**Created:** [July 7, 2015, 3:19pm UTC](https://discussion.livingwithpsoriaticarthritis.org/t/no-more-methotrexate/4203 "2015-07-07T15:19:23Z")
**Posts on this page:** 7
**Page:** 1
### Author:  [@the\_pain](https://discussion.livingwithpsoriaticarthritis.org/u/the_pain)
#### Post date: [July 7, 2015, 3:19pm UTC](https://discussion.livingwithpsoriaticarthritis.org/t/no-more-methotrexate/4203/1 "2015-07-07T15:19:23Z")
Just been to see rheumatology and after 2 years on the horrid stuff just been changed to sulfasalazine . Maybe this will help with the pain to . Any one else tried this with any joy .
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### Author:  [@Seenie](https://discussion.livingwithpsoriaticarthritis.org/u/Seenie)
#### Post date: [July 7, 2015, 6:40pm UTC](https://discussion.livingwithpsoriaticarthritis.org/t/no-more-methotrexate/4203/2 "2015-07-07T18:40:42Z")
Hi there, here’s hoping the sulfasalazine works better for you than the mtx did! If you go to the very top of this page (or any page on this site) you will find a search bar. If you key in “sulfasalazine” you will be able to see plenty of discussion about it. Here’s one of the threads:
[http://discussion.livingwithpsoriaticarthritis.org/forum/topics/sulfasalazine-anybody-taken-it-results?commentId=6339595%3AComment%3A147310](http://discussion.livingwithpsoriaticarthritis.org/forum/topics/sulfasalazine-anybody-taken-it-results?commentId=6339595%3AComment%3A147310)
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### Author:  [@Jules\_G](https://discussion.livingwithpsoriaticarthritis.org/u/Jules_G)
#### Post date: [July 7, 2015, 6:50pm UTC](https://discussion.livingwithpsoriaticarthritis.org/t/no-more-methotrexate/4203/3 "2015-07-07T18:50:27Z")
Wishing you every success with sulfasalazine. If it doesn't work for you, though, please remember that you're then eligible (subject to tender/swollen joint count criteria) for a biologic. PLEASE don't leave yourself suffering for another two years before pushing for your treatment to be escalated again.
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### Author:  [@Sybil](https://discussion.livingwithpsoriaticarthritis.org/u/Sybil)
#### Post date: [July 7, 2015, 8:23pm UTC](https://discussion.livingwithpsoriaticarthritis.org/t/no-more-methotrexate/4203/4 "2015-07-07T20:23:48Z")
Just seconding what the others have said. I hope you get some joy from Sulfasalazine. But if not, do get assertive about the possibility of biologics or a second opinion. We do have the right to ask for a different doc ... I did that & ended up with a new rheumy in a different hospital. His whole approach is different, much more proactive - it's such an eye opener. But I didn't know about the Bath hospital then & if I got stuck with a dismal treatment strategy again I'd get there ASAP.
If you want & need encouragement for the somewhat daunting prospect of 'asking for more' at any point then please see if we can help, folk here have a lot of experience in that department!
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### Author:  [@Seenie](https://discussion.livingwithpsoriaticarthritis.org/u/Seenie)
#### Post date: [July 7, 2015, 8:56pm UTC](https://discussion.livingwithpsoriaticarthritis.org/t/no-more-methotrexate/4203/5 "2015-07-07T20:56:10Z")
Agree with not leaving it two years this time. Three months is a reasonable trial for ssz, and if it hasn’t helped after six, I’d be hollering if I were you. Nobody is going to advocate for you if you don’t put yur foot downa nd get assertive.
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### Author:  [@amielynn38](https://discussion.livingwithpsoriaticarthritis.org/u/amielynn38)
#### Post date: [July 7, 2015, 9:28pm UTC](https://discussion.livingwithpsoriaticarthritis.org/t/no-more-methotrexate/4203/6 "2015-07-07T21:28:16Z")
Agree, not two years but do give it a shot! Good luck.
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### Author:  [@Stoney](https://discussion.livingwithpsoriaticarthritis.org/u/Stoney)
#### Post date: [July 7, 2015, 9:53pm UTC](https://discussion.livingwithpsoriaticarthritis.org/t/no-more-methotrexate/4203/7 "2015-07-07T21:53:26Z")
I stopped MTX after six months. This is a fair trial, and if it's not going to work you will certainly know it in 6 months. Hoping that it does work for you. That's been a long time of not getting good disease control.