I am very new to this and only just found out about this site recently, it is so good to know that there are people out there that can share their experiences and help others at the same time . I was diagnosed with RA last year and started taking methotrexate in November, the doctor started me on a very low dose and that was quickly increased to 10 tablets a week, I am also on 400mg of Tramadol a day for pain relief which can be quite extreme. Recently I was also given Naproxin to be taken daily to help with the pain and inflammation I was still getting in some of my joints. I have found that the medication is definitely helping but I am still getting a lot of pain most of the time and seem to be tired all the time? Does anyone else feel like this? Is this normal ? I am still in full time employment and have quite a physical job , but was advised by my specialist to think about cutting my hours down as I normally come home at the end of the day totally exhausted so by doing so feel I might have a better quality of life and more time with my wife and family. Can anyone else relate to this and maybe help me decide the next step to take. Thanks Jim.