Yes, HCQS 200 mg twice daily (total 400 mg/day) is commonly prescribed for rheumatoid arthritis and can be safe if advised by your doctor and your tests are normal. Do not increase the dose on your own; always follow your rheumatologist's guidance.

I understand how frustrating it is to deal with ongoing pain and swelling. Your medications, Folitrax (methotrexate) and HCQS (hydroxychloroquine), are excellent treatments, but they often take 8 to 12 weeks to fully work. Your elevated ESR of 52 confirms active inflammation, which is why you still feel discomfort. The moving bump above your wrist is likely a harmless fluid-filled cyst (ganglion) or a tendon nodule, which naturally moves as your fingers bend. Please don't worry, as this is common. I highly recommend discussing this with your rheumatologist; they can adjust your doses or suggest a temporary supportive therapy to give you faster relief while your main medications build up.

Surgical removal of the parotid gland is generally considered a last resort. This surgery carries risks, such as facial nerve damage, and may not fully resolve the underlying Sj?gren's symptoms. Before considering surgery, it is vital to consult your rheumatologist and an ENT specialist. They can perform imaging or a biopsy to ensure there are no other issues, and discuss alternative, non-steroid treatments like targeted therapies.

Hydroxychloroquine (HCQS) is generally considered safe to continue during pregnancy under specialist supervision to keep your arthritis stable. However, HCQS is a long-term control medication that must be taken daily to be effective; using it occasionally, like twice a month, will not help your pain and is not recommended. For safe, occasional pain relief during pregnancy, please discuss safer, fast-acting options with your obstetrician and rheumatologist before taking any medication.

Please be reassured that medications like SAZO (sulfasalazine) and HCQS (hydroxychloroquine) are slow-acting treatments. It typically takes about 6 to 12 weeks of consistent use to start feeling their full benefits, so one month is often not quite enough time. Please continue taking them as prescribed. I highly recommend reaching out to your doctor to discuss temporary pain-relief options to help keep you comfortable while these medications build up in your system.

First, please stop taking HCQS-200, doxycycline, ivermectin, and Azithral 500 immediately. Taking these medications for 10 days without medical guidance can cause unnecessary side effects, and they are not recommended treatments for COVID-19. Instead, focus on recovery. You can safely continue Dolo 650 (paracetamol) for headaches, and Zincovit and Lymcee for immune support. Rest, stay hydrated, and try steam inhalation for your stuffy nose. Please consult a doctor immediately to personalize your care.