On 12/9/10 I was diagnosed by my rheumatologist with Psoriatic Arthritis and Arthritis in my left hip (damage). The pain is severe (9-10 when unmedicated or really undermedicated). I am prescribe 100mcg of Fentanyl and methotrexate and meloxicam for analgesic relief and lamotrigine (like gabapentin) and cymbalta both I was already on they just upped the dosages. On the 13th, I will take my methotrexate for the 6th time. I am dealing with so much now. This disease is ripping apart my treatment plans for all of my other conditions. It only all started on Thanksgiving. I am so confused and so lost. I'm still trying to figure out the best way to wear the fentanyl patches. I've checked message boards via my wife since I am overwhelmed and she's helping me learn what is too emotionally taxing to learn. I have some very good ideas now but I realized there are many people who can help me. What can I expect from the methotrexate? Why am I diagnosed with long term use of the medication, what's so bad about it? What are the dosages that work for people? I'm literally drowning in questions regarding this and a dozen other health issues which are so intertwined I can't unravel the knot and I'm having some really bad days in regard to my mental health as well as pain levels. Thanks for the help, Michael.