Sir, My wife, age 70 years is taking medicines for RA for the past 9 years prescribed by a reputable Rheumatologist after many trials. These were Medrol 4 mg and HCQS 200, once a day. Everything was under control except occasional flare-ups for a day or so. On 15/12/2016 we had a check up done and her CCP found 128.9 +. The new Rheumatologist has prescribed Fourtrax 10 mg once a week, Folic Acid 5 mg for 2 nights a week, Etoshine 90 mg, CalteM, Pantop 40 and Medrol 4 mg one per day, but HCQS 200 increased to 2 per day. After taking, she was sick for a day with nausea and loose motion and slight streak of blood stains. But today 19/12/2016, she is feeling better. We are going to inform the new Rheumatologist of this. Meanwhile, may I request you to advise. Regards.