@kmg218
There are other options for RA, including kevzara which I take for PMR. It takes up to 3 months for full effect and does nothing for my osteoarthritis though. I also take 3mg LDN, which I started as a bridge from prednisone to the kevzara. I know it helps me sleep pain free at night. I can't stay on prednisone because of a subsequent SMM diagnosis. I will mention that LDN is an off label prescription, requires a compounding pharmacy and is not covered by insurance. The cost is quite reasonable though. I pay $110 for a 90 day supply at a local compounding pharmacy, but if I use an online compounding pharmacy I would only pay about $80 and they would mail it to me. There are very limited and very small studies so far for its use with RA but it is garnering more attention for its potential.