Hi there. Have you tried Xeljanz? I had taken a list of drugs a mile long and at that time I only had a couple left to try. Xeljanz has worked for 4 1/2 years and I am so grateful. When I feel I’m going into a full on flare I go in and get a shot of steroid and a toradol shot and it bumps me right out. I was just wondering if you had tried it. My doctor said we would try RINVOQ if it failed me. Good luck.