You'll have to change your rheumatoid medications, you can try tab leflunamide 100 mgs one a day for first 3 days followed by 20 mgs daily instead of hsqs and folitrax. Also start tab deflazacort 6 mg's 3 times a day for 2 weeks, then 6 mg's twice a day for 1 week, then 6 mg's once a day for 1 week and then stop. Leflumanide will continue with renal and liver function tests every 3 months. Also get your uric acid and vitamin d levels in blood tested fasting.