Hi kak1601,

My rheumatologist is keeping me on azathioprine AND adding the low-dose naltrexone.

I also take Tremfya. I am allergic to NSAIDS, so that kind of limits my pain-relief options. I've been through a bunch of other meds over the years: dmards, tnfis, biologics, too.

When you are on LDN, you cannot take any medication with an opioid in it, like tramadol, or some cough medications, or some anti-diarrhearals (sorry about spelling).

I posted some more messages in this thread, but I'm not sure in which order they appear. Sorry for any confusion. 🙂