I saw my rheumy yesterday and am still in pain and taking painkillers at least 3 times a day. He pushed my MTX up to 6 tablets but said this is the highest he will go as usually after 6 tablets it becomes difficult to tolerate. Have any of you experienced this? I'm not sure if this is just me since I've had a hard time tolerating it or not. What would come next? Any thoughts? Should I expect to be mostly pain-free on MTX or am I hoping for something that just doesn't exist?