I am having a lot of issues with being extremely fatigued most of the time. I'm on sulfasalazine and it has helped with the joint pain but It hasn't helped the fatigue. Even when I wake up in the morning I am so tired and it takes everything for me to get out of bed. I'm still working and try to keep up with all of the daily tasks but it's so hard. Most days I just want to sleep or rest but I can't. I've talked with my rheumatologist about it many times but he ignores me or brushes it off. Today I had an appointment with him and emphasized with him how tired I always am. He told me it has nothing to do with RA or lupus, that they don't cause fatigue. I've read lots of forums that say otherwise and I'm convinced that it is from the RA and Lupus. I also feel really weak. He told me to stop the sulfasalazine for a week even though I told him I was afraid to stop taking it because whenever I miss a dose I can tell and I start experiencing more issues. He didn't seem to care about my concerns. I'm so frustrated.