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The fatigue of fibromyalgia can be overwhelming.  In fact, many people say it's worse than the pain because it interferes with your life so much.    A large part of the fatigue probably comes from the fact that most people with FM do not get quality, refreshing sleep.  So addressing any sleep problems would be a good place to start.  You might want to consider having a sleep study done to see if you have any problems like sleep apnea that can be treated.  They should also be able to help you with tips and/or medications to help improve your sleep.  Check out MySleepCentral.com for more information about improving your sleep.   If fatigue is a serious problem, you might ask your doctor if Provigil (modafinil) or Dexedrine ER would be appropriate for you.  They can be quite helpful at increasing energy levels, however, if you have heart problems, you cannot take them.   Here are some additional tips to help you manage your energy: "Learning to Manage Your Energy"