Ive had Rheumatoid Arthritis for 8 years now, tried as many of the drugs as i could and failed. Im now taking Etanercept anti tnf, tramadols, co dydromols, amytryptyline and more. Feel like i rattle lol. Anyway my biggest issue at the moment is lack of sleep at night. When i do nod off the pain wakes me up not long after, tossing and turning, head wont go to sleep, pain shifting round the body. Yet 3.30pm in the afternoon im struggling to stay awake. Ive tried the exercise, the bath, the chill out , the music, sometimes they work sometimes they dont no one day or night is the same. Constantly feeling fatigued is kinda starting to get to me..... Others dont understand how quick we can get tired and how this can then effect everything its really surprising what makes us tired mentally and physically drained. Finding a solution is not the easiest though but i wont give up.