Hi - I have been to a derm and 2 Rheums and was finally diagnosed yesterday w/PsA. I have the HL27 marker, and some joint damage in my feet and sacroiliac joints. The Rheum wants to start me on methotrexate and a biologic at the same time. He wasn't very good at discussing my concerns re: side effects and didn't give me info on why 2 drugs to start.
Concerns with treatment plan
I'm seeking a second opinion
because don't feel like I have enough info to start this kind of drug regiment right off the bat. Is this normal to start w/both drugs? And aren't there dangerous potential side effects from methotrexate
? In addition, he said I have osteopenia, or pre-osteoprosis and wants me to take Reclast for that. Anyone have any experience? I am a person who is hard-pressed to take and Advil, so all of this is a bit overwhelming. I spent yesterday in tears