jak1016
"I agree on on the steroids interfering with sleep.I took a shorter dose of them(5 days) for my last flare which helped out.I also agree that methotrexate fatigues you and I am trying to reverse this without much success . I have had a great deal of luck with my diet keeping me at a minimum dose of methotrexate but the fatigue is a looming issue.I think I need need to reevaluate my eating on med day and following day to help out even more. I do keep a very strict sleep schedule too. "