Preventive Medicine Expert Forum
Chronic exhaustion
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Chronic exhaustion

Is this a flare or medication caused exhaustion?  This is not just fatigue this is bone weary exhaustion could sleep all day and all night, I just cannot drag myself out of bed and awake. A sensation of the kind of sleep deprivation like when caring for a baby but I do not have a child under 7 years old. I do have psoriasis and psoriatic arthritis but seems to be under control and not experiencing a flareup. I take 2 mg folic acid daily and vitamin D as well as Humira and MTX injections.  I also take Nexium, Celebrex, Zyrtec, and Cymbalta. Occasionally take Percocet for pain. Rheumatologist does not see this as a symptom of psoriatic arthritis but incresed folic acid and added vitamin D.
Tired of being tired!
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Thanks for your question. The kind of tiredness you are describing can be debilitating.

The differential diagnosis for fatigue is broad. A flare of your psoriatic arthritis could certainly be a cause, but so could obstructive sleep apnea, hypothyroidism, anemia, and depression, to name a few. I would bring this concern up to your primary care doctor, in addition to your rheumatologist, to get to the bottom of it.

Best wishes,
Dr. Nundy
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