I don't have RA, but I do have chronic fatigue which got so bad that I couldn't really function during the day, and the only thing that has helped was being prescribed a stimulant (Adderall has worked the best, but I've also been on Ritalin, Vyvanse, and dexadrine) by my doctor. Technically, Provigil (though it is also a stimulant) is the only medication I'm aware of that is FDA approved for treatment of fatigue, but it didn't work at all for me.
Your doctor will have to be open to the idea of treating the fatigue directly with a stimulant, but if your fatigue is so severe that it is significantly interfering with your quality of life, then I would hope that they are willing to work with you to find something that helps!
I strongly recommend that you do not try and self-medicate - not only could it be dangerous to your health, it is illegal - particularly with controlled meds like Adderall...
Good luck and take care!
- Adderall Information for Consumers
- Adderall Information for Healthcare Professionals (includes dosage details)
- Side Effects of Adderall (detailed)
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