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Medicine
A 55-year-old female on methotrexate presents with continuous pain and swelling of bilateral hand joints. What is the best treatment plan for this patient?
Double the dose of methotrexate
Methotrexate + high potency Oral steroids
Methotrexate + Sulphasalazine + Hydroxychloroquine
Stop methotrexate and sta Monotherapy with anti-TNF- drugs
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