Yes, even as a health care professional, I was fearful of the medications. It took me almost a year before I finally told my rheumatologist that I would do whatever he recommended. Now after 30 years I am much more fearful of the devastating effects of the disease than the side effects. Yes, you have to respect the possibility of side effects and have the recommended monitoring tests. I would give almost anything to have had the newer medications which stop the joint destruction back when I was first diagnosed. As the person above said the wrong choice can’t be undone. There is really no reason for persons who don’t have medical contraindications to the medications to have debilitating joint destruction. I have taken Enbrel in the past for over a decade and it was like a miracle. It finally quit working quite as well after about 12 years. I tried Orencia and Rituxan which both failed to help. So I went back to Enbrel which still made a significant difference. Then there was Xeljanz. I have taken Xeljanz for the past few years. My response to it was even better than Enbrel. So, again respect the medications, have the monitoring lab work and try the medications. Enbrel made a significant difference in about a week. Xeljanz took about 3-4 weeks. I wish there was a test which told us what path RA takes to affect each person, still waiting on that, then we wouldn’t have to go through trial and error. Good luck and God bless you with relief and some freedom from painful limitations.