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Hi All,

I was being treated with methotrexate for maybe 3 months and all was going well.

In a short

time i was feeling pretty good, motion returing and pain a lot less. However,

around

Thanksgiving i developed a cold which turned to bronchitis and eventually

pneumonia. My

rheumotologist had me stop the methotrexate when i went on antibiotics and has

kept me off

till i get a xray this week to show that my lungs are clear. In the meantime my

PA and joints

started hurting again and in some cases seem worse and seem to have developed in

a knee

that had been fine before. Is there such a thing as a rebound effect when you

go off

methotrexate? In other words when you go off the medication the joints get worse

as the

immune system rushes back in to do its damage?

Also my doctor wants to switch me to Arava from the Methotrexate since he says

it doesn't

affect the lungs at all. I have heard a lot of succes with Methotrexate but

don't know anything

about Arava. Is it as effective as Methotrexate?

Thanks,

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