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I just spoke to my RA doctor about this too and he said that there is nothing that can be done, either the pain from RA or the side effects from the drugs. I am taking meth right now and am wipped out for about 4-5 days every week.....the only thing the doc mentioned was taking steroids (predisone) to help me feel better but I personally can not take them due to my heart condition. Maybe you can check and see about adding predisone??