Think I would be giving that steroid shot time to work first and then decide. If it's getting better and you think it's working maybe that will be just fine on its own. It seems that there can be a lot of side effects from the methotrexate. I guess if all of us read the side effects from various drugs we probably would be a bit leery of taking them. Wonder why you would have to take it for 30 days before enbrel though?