28th February 2024

A 36-year-old lady with no known comorbidities is referred to the rheumatology clinic by her GP.

A 36-year-old lady with no known comorbidities is referred to the rheumatology clinic by her GP. Her medical record reveals a symmetric peripheral polyarthritis for which she was prescribed celecoxib. She complains that her symptoms of pain and stiffness in the wrists and knuckles have persisted for over three months now. Having reviewed the patient’s investigations and keeping the diagnosis in mind, the rheumatologist decides to prescribe 7.5mg of oral methotrexate, a cDMARD. You have been asked to discuss the treatment with the patient.

Select the most appropriate information which needs to be communicated to the patient from the following options: [one option only]