Thank you for the replies. We are feeling that lot of his issues started after MTX was added and the nausea got severe after adding antibiotics . How do we determine if MTX is helping or adding more issues? Skip couple of doses until abx dose is done and watch if there is any improvement? Or drop MTX and add steroids until he starts improving and then add MTX if needed?
Currently he is not on any steroid, steroid was stopped in March. Possible options are either add solumedrol or entocort. They have reservations on starting prednisone because of covid-19
