I was too tired and sleepy to make my appt with my general practicioner this morning. I have a rheumy visit this afternoon and my dad is going to take me to it. I used to take adderrall for that focus and burst of energy and my GP was the one to prescribe it to me. Now it's too much trouble to go get. I do good to make it to my Rheumy every two weeks. Should I ask my Rheumy about the lack of energy? I'm on MTX and it makes me even sleepier. I like the MTX though, it makes me feel better. So I don't know. Coffee doesn't do much as I'm almost immune to it. I drink it daily. I also take L-Tyrosine, Vitamin B and D.