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Real members of MyPsoriasisTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
July 21, 2025
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A MyPsoriasisTeam Member

Hi Kelly,
I suffered from severe fatigue. No amount of sleep helped. I woke up in the middle of the night, the itching could be terrible, and my lower back ached, so I wasn't getting great sleep. When tropicals helped, and N SAIDs kicked in and I slept, I was still fatigued. The fatigue is not only caused by lack of sleep, but the energy your immune system is consuming whole being in overdrive-i think that's why sleep is only part of the equation.
The only relief came when I started my biologic. Within a couple months of starting Enbrel, my fatigue basically vanished. Sure, I have occasional days where I get less than adequate sleep for whatever reason- but being tired is different than the fatigue.
I have been on Enbrel for over 18 months, and so far, so good, things are still well controlled, fatigue included.

July 23, 2025
MyPsoriasisTeam

Many people with psoriatic arthritis experience significant fatigue - you're not alone. About 30-40% of people with PsA deal with extreme exhaustion that doesn't improve with rest. The fatigue can make daily tasks much harder and impact overall quality of life.

Here are some practical tips that others have found helpful
- Show Full Answer

Many people with psoriatic arthritis experience significant fatigue - you're not alone. About 30-40% of people with PsA deal with extreme exhaustion that doesn't improve with rest. The fatigue can make daily tasks much harder and impact overall quality of life.

Here are some practical tips that others have found helpful:
- Keep a fatigue diary to track patterns
- Schedule regular rest breaks during the day
- Listen to your body and pace yourself
- Maintain a basic routine but adjust the intensity Some members have shared specific strategies:
- During high fatigue periods, focus just on basic tasks
- Continue light exercise like Pilates but at reduced effort
- Track sleep quality, activities, diet and flare-ups
- Work with your doctor to identify triggers and solutions

Remember to discuss your fatigue with your healthcare provider, as they may need to run tests or adjust medications that could be contributing to your exhaustion.

July 21, 2025

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