18th January 2024

A patient has been diagnosed with RA around one year ago and started on Methotrexate.

A patient has been diagnosed with RA around one year ago and started on Methotrexate. Unfortunately, the patient continues to complain of ongoing joint stiffness and pain, particularly in the right elbow and wrist, as well as in the left ankle. On examination, these joints are swollen and painful, and movement is restricted by pain. Investigations demonstrate persistently elevated inflammatory markers and erosions on X-rays of the right wrist. Which is the next most appropriate treatment strategy?

Select the SINGLE most appropriate option from the list below. Select ONE option only.