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Pharmacology
A rheumatoid Ahritis patient on Methotrexate, steroids and NSAIDs for past 4 months has had no retardation of disease progression. What is the next rational step in management?
Sta monotherapy with anti-TNF alpha drugs
Continue Methotrexate and steroids
Stop oral Methotrexate and sta parenteral Methotrexate
Add Sulfasalazine
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