I have had moderate to severe RA for 5 years. Take Enbrel once a week and am supposed to take 5mg. injectible of methotrexate weekly. I had gone without the methotrexate for at least six months and have not noticed any difference at all. I am scared to death of the methotrexate. Can anyone explain why my doctor wants me to continue it if it does not seem to make a difference? I do great on the Enbrel by itself, but am sure there are reasons, I just don't understand!