I have been given a provisional diagnosis of CND/SLE as might symptoms fit, but my bloodwork is unremarkable. I have been started on Hydroxycloroquine and have been given another Steriod injection. Sadly I have had shingles and tonsilitis again so I missed out on the benefits of the steroid injection which only last a couple of weeks at best. I am a very busy person, I have two jobs and 5 children, so rest really isn't an option. I can't afford not to work, and as one of my jobs is as a dance teacher, I need to be active. How do you cope? The pain I can just about manage with, but the fatigue is really dragging me down. It's too early to see any bebefit from the Hydroxycloroquine but after having shingles again, I feel awful! I'm struggling with very simple tasks. Are there any coping stratergies I can try? A magic spell would be equally well received! Could this ramp up of symptons be related to the new tablets? I am so tried I just want to cry. I have always been a very positive person even in the face of adversity (and to be fair I have had more than my fair share) but I am struggling to keep things together. Any advice would be gratefully received.