I just moved to NZ from US and am practicing rheumatology there.
In New Zealand before the Special Authority approves TNF for RA patients it is required that they try and fail triple therapy and then also MTX+Leflunomide combination. I usually combine them by dosing leflunomide at 10mg daily and MTX at 25mg weekly or Leflunomide 20mg daily and MTX 10mg weekly.
I just moved to NZ from US and am practicing rheumatology there.
In New Zealand before the Special Authority approves TNF for RA patients it is required that they try and fail triple therapy and then also MTX+Leflunomide combination. I usually combine them by dosing leflunomide at 10mg daily and MTX at 25mg weekly or Leflunomide 20mg daily and MTX 10mg weekly.