I'm in the same boat. Find it difficult to do simple household tasks. I'm frustrated in my usual walking campaign because we have had so much forest fire smokiness that I can't go out, but today I'm going to try to go out and walk. I think exercise is something we have to try to do. I MUST exercise on my bed before sleeping or I will not sleep. The stretches lower the spasticity and pain, if I do the whole series, which is sometimes difficult as I feel sleepy and unwilling. If I walk outside, then I must sit down and watch TV when I come home--I will be muscle tired--but I will be more alert. Some of us can't walk, as I do when the situation is right, but there are many bed or mat exercises which can be done. I know this sounds like I don't understand the problem. I do, I realize I have to catch that exercise bus only at times when it happens to come by. Many times, not feasible. So get in some movement whenever it seems possible. I really appreciate your feelings.
I'm extra tired because I had to evacuate ten days for the smoke of the fires nearby. Of course I am very tired when I come home. It takes weeks to put things away. But the main thing is not to feel guilt! Don't! You did not ask for this. Please remember that.

Too bad I'm not a junkie or pusher!! Got lots of left-over. Ritalin and Adderall made me sleepier (as my GCP says "Yeah, you are a little Hyper"), Provigil didn't help either. Amantadine wins because I go from dead to only 1/2 dead. Got lots of pain-reliever Vicodin that did nothing. Apparently it's thepill of choice for tattoo getters. I got a great medical plan but nothing works! I give nobody the left-overs.