Possible sinus infection, given that your symptoms started with plaquenil (a mild immune suppressant) and got worse on methotrexate (a more aggressive immune suppressant).
Consult an EMT and ask about fungal sinus infections.
Chronic Lyme, Bart., Gluten & Sulfite Sensitivity, Many Food/Inhalant/Medication/Chemical Allergies & Intolerances, Asthma, Gut dysmotility & non-specific inflammation, Lupus, Osteoporosis, etc.; G-Tube
Meds: Flagyl, Domperidone, Zofran, Claritin, Andrographis & other herbs, homeopathy, supplements, etc.