Arava worked wonders for me, 10mg I can tolerate, but gives me diarrhea, known side effect apparently.
Found I could take it at night, then in the morning when i get up keep the toilet clear, family learn't after being abused roundly by me.
Once I have been OK for the rest of the day.
20mg worked even better, that as I understand it from my chemist is the more regular dose, I am their only patient who is taking 10mg, so they have questioned me why the Rheumo has me on it, because I do not tolerate 20mg at all, high blood pressure, rare but known side effect, I was one of the first to report this when it was a new drug in Australia.
You may have psorasis arthiritis, do you have psorasis on your skin, thats what the Rheumo tells me I have, have had psorasis my entire life, but even come back negative in a psorasis genetic tests, not unusual apparently.
Rheumo has me on 6000mg odourless fish oil a day, 6 x 1000mg capsules, they do help with the tighness of joints, bonus side effects micro lines around eyes and lips have lessened.
Only disadavntage I have found is I must take them with food, otherwise I get a little reflux, fishy taste in mouth when I burp, not unbearable just not very nice.