Hi Sue,
I think the idea is to try the cheaper, more obvious DMARDs first. I guess I agree with that idea because the biologics make me nervous. I'm willing to try them if the older DMARDs don't work. So far I've worked through plaquenil, minocycline and now methotrexate. If that doesn't work, probably the next step would be a biologic. My rheumy did agree that sulphasalazine is less effective for RA so he probably won't suggest that next.
