PM is a 43-year-old non-obese female newly diagnosed with rh…
PM is a 43-year-old non-obese female newly diagnosed with rheumatoid arthritis with poor prognosis. She has been experiencing symptoms for the past 4 months of joint pain in her first metacarpals. The only notable lab abnormalities are elevated liver function tests (AST/ALT) which are 3 times the upper limit of normal. Vitals are WNL. PMH: Past (10 years prior) alcohol abuse, cirrhosis, and hypertension Home medications: Amlodipine 5 mg PO daily Which of the following is the most appropriate initial therapy for PM?