I've been on methotrexate for just over a year for RA. I have also tried hydroxychloroquine and sulfazalazine both of which caused tinnitus so had to come off them. My consultant has now put my methotrexate up to 25mg to see if my symptoms improve. I'm trying to stay positive but if this doesn't work what other treatment is there. it is so annoying as the combination of methotrexate and hydroxychloroquine was working brilliantly but the tinnitus was to hard to live with