I've stopped Sulfa as I was experiencing a bad taste & smell, which may be caused by sulfa. After a while it wasn't as effective and I too was prescribed methotrexate alongside. I'm about to start MTX & am hoping that I wont have side effects with that! The side effects of the methotrexate for me were horrendous (chronic chest infections) and I'm now asthmatic as a result. When did doctors start prescribing chloroquin Hydroxychloroquine pill Nitrofurantoin and hydroxychloroquine Anti malaria pills chloroquine A 44-year-old woman with seropositive rheumatoid arthritis, on triple-DMARD therapy methotrexate, sulfasalazine, and hydroxychloroquine, presents with a 1.5-cm nodule on her right breast, and no suspicious regional lymph nodes. Aug 22, 2006 O'Dell J R, Leff R, Paulsen G, Haire C, Mallek J, Eckhoff P J. et al Treatment of rheumatoid arthritis with methotrexate and hydroxychloroquine, methotrexate and sulfasalazine or a combination of the three medications results of a two year, randomized, double‐blind, placebo‐controlled trial. Arthritis Rheum 2002 46 1164–1170.1170 Before the availability of drugs like methotrexate, damage to joints and related structures from chronic inflammation associated with RA was inevitable for many patients. 1. The most widely used traditional or conventional DMARDs include methotrexate, sulfasalazine Azulfidine ®, leflunomide Arava ®, and hydroxychloroquine Plaquenil. I had side effects from MTX, which largely wore off, but haven't had any problems with the Hydroxy or Sulpha. I refuse to take it now even if its my passport to biologic treatment. I started with MTX which worked, but not enough so the others were added in which has been better. Sulfasalazine hydroxychloroquine and methotrexate What are the side effects of hydroxychloroquine and sulfasalazine in., Combination therapy with sulfasalazine and methotrexate is. Plaquenil nicotineChloroquine nightmarew Methotrexate is one of the most durable and frequently used disease-modifying antirheumatic drugs DMARDs in monotherapy as well as the cornerstone of combination therapy for rheumatoid arthritis RA. Leflunomide, sulfasalazine, and hydroxychloroquine are effective therapies in RA and are commonly employed in combination therapy. Traditional DMARDs Methotrexate, Leflunomide, Sulfasalazine.. Traditional RA Disease modifying anti-rheumatic drugs. Rheumatoid Arthritis Treatment Options Johns Hopkins Arthritis Center. Hi there. Sulphasalasine was helpful in my case but took 12 weeks to kick in. After a while it wasn't as effective and I too was prescribed methotrexate alongside. The side effects of the methotrexate for me were horrendous chronic chest infections and I'm now asthmatic as a result. Sulfasalazine is a combination of sulfapyridine and aspirin like compounds. The medication may be associated with diminution in complete blood cell count. In general, one should consider withdrawal of the medication three or four days prior to surgery. Hydroxychloroquine is a less commonly utilized disease modifying anti-rheumatic medication. Hydroxychloroquine is sometimes combined with methotrexate for additive benefits for signs and symptoms or as part of a regimen of “triple therapy” with methotrexate and sulfasalazine. Mechanism The mechanism of action of antimalarials in the treatment of patients with rheumatoid arthritis is unknown but is thought to involve changes in antigen presentation or effects on the innate immune system.