You have tried ALL the meds? Including Actemra? ((Which has put me in remission for 7 years now.
Arava is not recommended if you can get pregnant, so they make you use TWO contraceptives if you are of child bearing age. I am not, I have taken it off and on for probably 8/10 years. It works very help, like MTX with no side effects. I take it in addition to Actemra though.
Pred is very bad for you, If you take arava with an anti TNF, they work ectra well.