Has anybody ever been unlucky enough as myself to come down with methotrexate interstitial pneumonitis (MTX-P)? Then after about a year of recovery and my lung Fx has returned to within normal limits to have rheumatologist start them on Arava or Leflunomide? The reason I ask is because if one goes to pubmed.gov and searches for "patient with prior MTX interstitial pnuemonitis and Arava" it advises that 100% of patients who had MTX-P who unfortunately came down with Leflunomide interstitial pneumonitis (LEFIP) died after coming down with LEFIP. I asked my Dr what if I came down with the same symptoms as before what should I do? She didn't answer my question. So, after researching it myself I see it takes 11-14 days to washout Arava out of one's system and when I got MTX-P after 4 days in hospital I went into respiratory failure and arrest. So, if same thing were to happen again I'm assuming there would be nothing that could be done by what I have been reading at reputable websites. PubMed.gov is part of the National Institutes of Health in Bethesda, MD and I have found similar articles at www.FDA.gov. One thing that was mentioned was that LEFIP was rare, but overall considering all reasons for coming down with it that 1 in 5 will die. That scares me especially with what happened with me on MTX. BTW I am taking Enbrel and just stopped Plaquenil with very little joint pain relief. Humira and sulfasalazine both cause me to get acute pancreatitis and I have chronic pancreatitis now. Any advice would be appreciated I haven't started Arava yet. I'm doing some soul searching. Thanks.