I have rhuematoid arthritis. I take methotexate and have blood work every two months. The rhuematologist office called today (appologetically since they overlooked calling me since the bloodwork was done a month ago to tell em my numbers were fine except thatmy lymphocite numbers were as follows: my absolute lymphocites were 5.12 and my lymphocite total was 47. She also said is ssaid it was reactive. She was more worried about appologizing about the oversight and really didn t answe my questions very well. What is reactive . She said sinec my blood work is only a month away we will just wait until those results come back. How elevated are these numbers? I don t remember being sick, although I believe I was having some pain in my knee and wrists. Can other meds interact and cause lymphocite changes? I also take embrel, folic acid, lexapro anduse Fluticason Propionate nasal spray. I also take 50mg tramadol once a day if needed. My RA is pretty controlled but I am getting a little nervous about taking the methotrexate. Thanks you forr your help