looking for NSAID alternatives

Until now I have been taking over the counter pain medications for my RA. I am on methotrexate because I cannot afford the biologics, but the truth is that it is not working well. I am also unable to take NSAIDS because I have a reaction when I take them. The pain has become too much so I need something to take that is more effective. I cannot be on anything that puts me in a daze. I know that Prednisone is an alternative but it works only for a very short time on me so it is not a viable option.  I am in so much pain that sometimes, I just break down and sob. Is anyone here not taking NSAIDs and free of pain?

I am not on NSAIDs but I wanted to respond. Yours is a tough situation. If the NSAIDs are not an option, most times you would take a steroid. If you have not had this discussion with your doctor, I would bring it up. The only other option that I have read about is the use of capsaicin, the part of peppers that provides the heat. Doctors use that in people with neuropathy but I have read that it is painful to have applied on its own. I don't know if is applicable for RA but as always, discussions with your doctor are helpful in situations like this.

One of the products that has capsaicin in it is called Capzacin for your reference in case you wish to look it up. Otherwise, you will need to learn more about the different steroid options. Many have serious side effects so it will be a judgement call as to whether you use them. However. given your pain, I would guess that you would take the risk.

Thanks to you both. I am thankful for the responses. I am in so much pain that I would gladly use a medication even if it takes years off my life!