Flare or med adjustment needed? | Arthritis Information

I'm fairly new to this or at least I consider less than 2 years new and puzzled over when increased activity is a flare and when it's time to re-evaulate my meds.   I've had some increased pain and fatigue for the past 3 weeks, more so this past week.  I'm working fulltime, with some additional hours the past two months so could be a cause.   Hours have gotten better for the last week or two, so I'm back to a normal work week and hoping that would have made a difference.  I certainly don't want to increase my meds if this is a temporary issue but at the same time, I know it's important to keep things maintained.  

 

I've listing out my pre and current meds/dose below.  While I've decreased mtx and relafen, it's been almost 3 months of decrease,  so you wouldn't think that would start making a difference now, would you?  

 

Pre Aug 15th                                      Post Aug 15th

Relafen - 1500 mg                              Relafen - 750 mg

Mtx - 8 pills (20 mg)                            Mtx - 6 pills (15 mg) decreased due to headaches

Enbrel - weekly                                   Enbrel - no change

 

Added to my confusion about a flare vs med change is that I've been pretty stable for about a year now, so just not sure.   I know I need to call my RD and ask and will do so on Monday, but curious what you all think.   

 

Thanks

Cathy

 

Hows the twitch'n today? It's still there - odd that it started about the same time as the RA flaring up.    Relafen was decreased as I was maintaining for quite awhile.   I was hoping to start taking even the one remaining relafen pill as needed, but decided best to wait. Yeah, check with your rd.  Might try bumping the Relafen back up a bit.
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