I've been on this combination of drugs before and I totally understand your hesitancy. Two different high-powered meds can be daunting, but just know that many of us have experienced this regimen before and many of our community members I'm sure will be happy to share their experiences which may help put your mind at ease. NO matter what, though, remember that you have the final say about what happens in your body, and you know yourself best! When you discuss your concerns with your rheumatologist remember that! Keep on keepin' on, DPM