Thanks for posting your query.
As you are a known case of RA, you should understand the basic pathology as you have to take these medicines for life long.
Are you getting pain and deformity
in these affected joints?
Are you getting fever/ pain and generalized malaise?
You should also consult with physician/ rheumatologist
and should go for ESR, CRP and anti-CCP antibodies
By these test, you can judge the activeness of the disease.
You should take leflunomide
and sulfasalzine on written prescription if your condition is getting worse or if you are getting side effects.
, you can go for iron profile and should take eryhthropoietin for correction.
Dr. Mayank Bhargava