Aching/Chills in the evening hours

I have RA and taking Methatrexate, Voltaren and Plaquenal. I also am prescribed Ultram for pain when needed, but I prefer to take Tylenol instead. I am also considering the option of Enbrel of which I haven't made up my mind about yet. However, I find that my flare up...

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Aching/Chills in the evening hours