In patients with rheumatoid arthritis who have contraindications to methotrexate, what evidence-based alternative treatment options are currently recommended, and how do their long-term efficacy and safety profiles compare?
Leflunamide and Salazopyrine among cDMARDS could be used as an alternatives to methotrexate in case of it is contraindicated. Otherwise if still active rheumatoid arthritis after 3 months you may consider tDMARDs or bDMARDs