Hi all . Not been posting but reading all yours daily. Well I changed to sulfasalizine and mtx about 3 months ago and I thought this is it, as I felt loads better and nearly normal. Well started to flare again about 2 weeks ago and this last week have felt dreadful. Flares happening every couple of days sometimes both wrists, fingers and tops of hands. The worst thing is the fatigue that goes with it. I have been drained all week with no strength and just want to sleep. I work full time also and have struggled to get to work. Totally fed up and close to tears again. I don't know whether to ring the rheumy nurse or not as I don't know whether I am just being a weakling and just see how it goes or contact them. They might think I am exagerrating so don't want to bother them again. What should I do.