Orencia and med add-ons

After over a year of trying and failing treatments for MCTD, I have finally found success with Orencia weekly subcutaneous injections. I think I just took my 12th injection yesterday. I am tapering prednisone for the first time in a year. Very positive. However, I feel like the Orencia wears off a bit around day 4-5. Any suggestions on add-on meds that you’ve found helpful while on Orencia? Below are meds I’ve tried and don’t tolerate: -MTX (effective but side effects were brutal) -HCQ (weird heart stuff) -CELLCEPT (allergic) -Azathioprine (this med worked great, but I had low levels of the enzyme to break it down and developed toxicity) -all NSAIDS (allergic) -sulfalazine (allergic) -Leflunamide (allergic)

I feel like I may have no other options, but maybe someone here knows of something I haven’t heard of yet?

Thanks!