I couldn't get on with Mtx, sulpha. and was eventually changed to Leflunomide...............and haven't really had any problems.
I did lose my appetite (and a LOT of weight !!!!)initially, as it CAN lessen the desire to stuff your face with goodies. I have found it ok, though they have added Plaquenil today as its not as effective now as it was when I started almost three years ago......but that's probably because of other health problems clouding the issue! Good luck, do hope you find it helps!! Lxx
Always be aware that what you do might hurt others........and if it could, do nothing without careful consideration of the consequences