I have rheumatoid and my rheumatologist won't let me go back on biologics (Actemra was working for me pre-cancer) until i'm 5 years post cancer treatment. I'm on 20mg Arava at the moment but it's doing nothing. I see him again in a week and he'll start me on triple therapy (sulfasalazine, methotrexate and plaquenil). None of those medications worked for me individually so I'm hopeful that all together they'll do something because I don't know if I can go another 4 years with the daily pain I'm in now.