I wished I had more adive for you on the fatiuge part of it all. I always feel tired. Sometimes you might need more iron in your diet or vitimans. You might even have Sleep Apena ir you might need to cut Carbs out of your diet or change your diet around until you find what workd for you. Thats the best I can come up with.

My fatigue is occasoinal, usually if I miss my pain meds. I just lay down with my dog, but I try not to sleep. At least not very long. I've tried to do this in my recliner, but it's not the same. It seems that this is just something that you have to work into your life now. I know it's hard I used to work 10 hrs. a day 6 days a week, now I have to do things based on how I feel. Not if they need to be done. Hope this helps.

Thank you for you help. I will talk with my doctor the next time I go see him.

I really have no advice but I feel the same way!!! I feel like I am sleep walking through life and I hate it!!

Talk to your doc about the following: Sam-e, St John's Wort, B6 and B12(B3 can cause rashes in some people), Omega 3/6/9, and natural lighting. All may help and as well if your diet is red meat heavy try eating more chicken, fish and vegies as sometimes slight diet change can help. If you do not feel overly rested after a full 8 hrs sleep ask your doctor about going for a sleep study.

I have by the way mild sleep apnea(I was in a sleep study), seasonal affective, several forms of arthritis including FMS and Chronic Pain Syndrome, and a few other conditions. In the winter I don't necisarily feel depressed unless somethings triggered me to feel down. What I do feel is lethargic, I want to sleep alot but I'm not getting restful sleep(part of that is pain and other part is apnea and chronic insomnia). When things are particularly bad I watch my diet, take vit d/b6/b12, omega 3/6/9, and sam-e.

Getting tired has been a big part of RA for me, too. I have noticed how many people with RA are on depression medications. I myself have had doctors who tired to put me on these type of drugs. So be carefull! I believe often times doctors prescribe these drugs because they don't understand the problem. The tiredness is caused by the inflamation and it's not in your head. I took Feldene you a number of years with only mild relief of inflamation. Now I am on Humira and Mobic; however, I still have problems with inflamation and tiredness. I have found if I take Feldene just on the days I have severe inflamation and tiredness it helps. the key is I take it only occasionally and not as a regular medication. one or 2 tablets is the most I ever take a day and not over once a week. I lay down and in about an hour I feel much better. The doctors have always told me Feldene needs to build up in your system, but for me it doesn't work that way. it works better for me when I take it only when I absolutely need it.
What really ticks me off is the number of doctors that don't understand the how tired inflamation makes a person. Not to mention the fact, the many people just precieve the RA suffer as lazy. the truth is the problem is very real! Unfortunately there doesn't seam to be many answers from the medical community on the problem of fatigue. Worse yet many doctors would rather write it off to the person as being depressed and after paying the bill for some of their bad advice you really are depressed.
My advice try the Feldene. Good luck!

The depression medicine is not used to treat depression in RA. It actually helps with some of the chemistry involved with inflamation and fatigue. I am not depressed. However, cymbalta is very important to my daily functions. If I don't take it, my brain fog gets so bad that I can't finish sentences and I lose stuff all the time. Without it, I am so tired I really can't move.