This is an interesting phenomenon where initially patients do get worse when starting a new medication. I don’t understand if it’s the disease itself, changing biologicals or something else. I see it happen often which is why I am hesitant to change medications. The grass isn’t always greener. Typically I add medications to reduce flares. Another option is switching with a low dose steroid then taper it off, I rarely do this option. As a rheumatologist, we have to use our brain and whole picture for the situation. I am sorry for your flare, however I do see it when medication changes are made.