I am in the middle of a flare-up of rheumatoid arthritis and also have the pain of fibromyalgia and the constant fatigue to cope with. I wake up exhausted, unable to think clearly and function very slowly. I know I have to pace myself but this is not always easy especially when you want to do what everyone else accepts as normal activities. Even a luncheon out on somedays is an effort and I end up wishing I had said no. Other days are better. It is very hard to plan ahead. Exercise is out of the question at present as even walking causes pain. I try to do a little and swimming also. Most of the time I end up worse off. I live in Australia and these conditions don't seem to be as well recognised here. I have been to a rheumatologist, seen a psychiatrist who says I am not depressed but that this illness (whatever it is - fibro./chronic fatigue is the cause of my problems. I am very sensitive to most drugs. Have been given zoloft to help with pain and mild depression but was unable to tolerate. Have tried lots of other meds. but too sensitive. I am now on serzone 350mg. valium 2.5mg. morning and 5mg. night, low dose cortisone (for arthritis), vioxx. Has anyone got any ideas on what else I can do. I have very good friends whom I see all the time so I am not isolated.