Hello and welcome to our family!
There are alternatives to Methotrexate. However, please understand that every single medication has it's own set of side effects. You are not going to find any medication that does not have warnings about its side effects. Listed side effects do not mean that any person will get or have all of those listed, some have many side effects and others tolerate the drug very well.
What generally occurs is that the patient will take the medication, monitor their side effects (this will also include regular blood tests to determine if the drug is causing any damage) and consider the benefits that they have felt using the drug, and then that person (with their doctor) will decide if a dosage change must be made, if the medication needs to be stopped and replaced with something else, or if the benefits far outweigh the side effects.
Although methotrexate was originally designed as a chemotherapy drug (in high doses), in low doses methotrexate is a generally safe and well tolerated drug in the treatment of Lupus and other autoimmune diseases. Because of its effectiveness, low-dose methotrexate is now first-line therapy for the treatment of Lupus and rheumatoid arthritis. Although methotrexate for autoimmune diseases is taken in lower doses than it is for cancer, side effects such as hair loss, nausea, headaches, and skin pigmentation are still common. Multiple studies and reviews showed that the majority of people receiving methotrexate for up to one year had less pain, functioned better, had fewer swollen and tender joints, and had less disease activity overall.
Some alternatives to Methotrexate include drugs such as: Azathioprine (Imuran) - Cytoxin - Prednisone -Cyclosporin -Cellcept. But, as I mentioned above, all of these drugs come with their own list of side-effects. Please discuss with your doctor what might be viable alternatives for you because to not treat those symptoms that the Methotrexate was considered for could be a very serious and dangerous decision.
I wish you the very best!
Peace and Blessings