What should I do if my knee pain and fluid buildup have not improved despite my rheumatoid arthritis (RA) factor dropping after taking hydroxychloroquine (Hikem), and is it safe to lower my Hikem dose to 100mg without a doctor's advice due to new side effects like nausea and severe shivering during sleep, while continuing to take Jointace, Moid, and Calcimax?
While it is positive that your RA factor has decreased, please do not reduce your hydroxychloroquine (Hikem) dose without consulting your rheumatologist. Adjusting your dosage on your own can affect your treatment's success. Your new symptoms of nausea and severe shivering during sleep need to be evaluated by your doctor promptly to ensure your safety. For now, please continue taking Jointace, Moid, and Calcimax as prescribed, and contact your healthcare provider right away to discuss these side effects and your persistent knee symptoms.