I have been "layed off four times in a 1.5 years after I had so many absences and doctor's appointments. I am very close to filing for disability, however cannot handle being away from m children, while I live with my mother. I am trying one more time to work and have asked the neuro for medication for the fatigue. My biggest concern is pain and fatigue. I take Tramadol in the morning for the pain and some ibuprofen in the afternoon. that's cool, but the fatigue is crippling. I have been offered a job that would offer benefits and a decent pay rate. I have been without benefits. The neuro might prescribe adderall or ritalin. I wanted to get your feedback about your experiences with these drugs. He was going to prescribe Provigil, but I can't afford it. Oh by the way I am Avonex and montly steriods as well. Your thoughts?