Welcome to NT...sorry to hear you're dealing with the crummy symptoms...
Fatigue is one of my on again-off again symptoms...I don't take any meds currently for it. My neuro likes to make sure there is nothing exaserbating like a UTI or heat to ramp up the fatigue...so I just drink lots of caffeine and rest when I can't push through it.
I also have sleep issues. I let myself lie awake for an hour, then I get up and read something boring or watch the weather channel...that channel is a guarantee to put me to sleep...
I am loathe to take narcotics, so I never ask for any to help me sleep.
Hope you stick around...lots of info and support around here!!