Hi, I'm 47 and have recently been diagnosed. Am on 25mg of methotexate per week as well as various painkillers for another medical condition. They have just started me on oral steroids as the injection didn't work. Is it normal to be so tired and nauseous all the time. Tried to explain to family how I feel but am sure the are getting fed up of it. I can't wash properly or even brush my hair, not sure what to do can't work at the moment.