Leflunomide
With biological
Dose 100mg PO QD for 3 days then 20 mg PO QD
Preg X
Methotrexate
First line Inexpensive Dose: 20-30 mg/wk Preg X Onset: few weeks
Sulfasalazine
Combo
Dose titrate up to 1 mg BID
Preg B
Hydrochloroquine
Combo
Dose 200-400 mg PO QD
Preg C
YEARY EYE EXAMS
Minicycline
Combo
Dose 100mg BID
Preg C (teeth and bone impact)
Dose 2 hrs before metals
Tofacitinib
Last line
Preg C
Screen for TB and hep