Kickas.org Forums Treatments, Drugs and Alternatives Anti TNF and other biological medications Conventional DMARDs in axial spondyloarthritis ?

If you're in USA, many insurers require "step therapy" to determine whether you are resposive to lower cost meds before approving the expensive ones. NSAIDs and MTX are usually the first steps so perhaps that's what your Dr is doing. Not sure if that's required in Canada. The above quoted article is only relevant to the protocol of using TNFs with MTX. Best wishes