Oh how I wish for a magic pill for exhaustion! I take some pretty heavy duty medication so won't advise you on specific meds...I think here in the UK they are very quick to dish out medication. But what I will say is that if I didn't take my medication at night that is a muscle relaxant and sleeper then I would be far worse, but I really only suggest this if your sleep pattern is that bad as once on, well I can't imagine being off them now, so that says it all really! :-)

I had been on provigil for awhile. It is usually given to persons with narcolepsy. Got me a little too wired and had more anxiety attacks. Now I just try my best not to sleep during the day or there is no way I sleep at night. Take amitryptiline, clonzepam and 3 muscle relaxers at night to sleep and help with restless leg syndrome. I have been napping lately but it is due to over exercise moving and emotional stress and still sleeping at night.

Haven't been able to go to the pain clinic for months, they say I owe money but won't tell me from when or give me a bill.

Anyways the provigil might be something to talk to your doctor about to counteract the meds you are taking that make you feel exhausted. Good luck! Dawn

I have a script to help sleep at night...but I am still tired all the time. Having a 2 y/o in't helping lol. I wish I knew the answer!

I definitely feel that improving your sleep helps with exhaustion. Finding the different things that are interrupting my restorative sleep have made me feel better during the day. I won't pretend that I feel stupendous, but to be able to go to the grocery store without hangin on the cart feels like improvement.

One thing was as simple as getting a nightguard - clenching and grinding my teeth all night was jolting me awake.

On the other hand, pain interrupts sleep too and exhausts you throughout the day to move through the pain.

I think getting your Dr to understand and take a look at your sleep is helpful. Having a sleep test explained a lot to my me and to my Dr as to how I was feeling.

I think the fatigue is a tough one.

I know some people find that the D-ribose can be helpful. I take it and notice a difference when I am out of it. And right now i am out of it and I am feeling extremely weak and tired. I ordered some more and can't wait for it to get here. but I can't afford to buy it all the time and I take less than what is suggested to try and make it last.

And there are all the other suggestions that people suggest. B vitamins, and eating right. but I think for most of us, even when we make these changes, it barely touches the surface for us and we struggle with the lack of energy.

Better quality of sleep may help. but I am like you I don't know. I feel I have been sleeping a little better just lately but still feel wiped out just doing the most simplest of things.

I have been sleeping really well with prescription but I still wake feeling utterly exhausted most days.

Some medicines are out there that will give you an up - like Adderall. But I don't think that is the answer for me. I just don't want to take any more prescriptions than I already have to. And taking something to give me an up and then taking something to give me a down to sleep sounds sort of like a drug addict to me.

Don't hate on me, but exercising regularly (easy tai chi) in the morning has improved my sleep tremendously.

In addition, I use medical marijuana (indica strains) on nights I can't quite get there. I live in CA

D-ribose has helped me tremendously. I also found my Vitamin D levels were low, and that was contributing to my fatigue. I also cut processed sugar out of my diet, and greatly reduced my caffeine intake....both of those were causing fatigue for me.

Hope this helps, and HUGS from down south :)

B12, Red Bull, Ribose and power-C dragonfruit vitamin water. Help some.

I hear, but have no experience that Adderol and Ritalin help. They are usually prescribed for hyperactive kids. Don't know if your Dr. will go for it.

better sleepwas as easy for me as reducing my pain with cymbalta. I now sleep like a log.

For me, Savella started helping with the fatigue as soon as I started taking 50mg twice a day. I was already sleeping a little better on the muscle relaxer, but still felt exhausted when I got up. After I started to be on Baclofen(muscle relaxer) Savella and Gabepentin, I felt so much better, more energy, sleeping well, and the pain level was much lower. I unfortunately went into a bad flare, that has lasted three weeks, yesterday, Monday, was the first day when I felt significantly better, during the day, in the evening I hurt really bad, but taking my reg. meds and vicoding helped. I did have much more energy, though. I is now 5:10am and I'm still asleep, but my pain is a little lower.
As far as helping with the exhaustion, Savella seemed to make the most difference. There is such a big connection between sleep, pain, and fatigue. This crazy fibro can be so different for many, yet, we all have so many similar symptoms. I know that when I see my doctor in a couple of weeks, I will be asking him for possibly increasing the dosages of my meds and for something for pain, that is not a narcotic as I can only take those at bedtime and waiting till bedtime to take pain meds makes the pain get out of control.
I hope you find something that works for your exhaustion and that you get more pain relief, also. Sleeping better may help with pain.
Take care