I was having the same issue, to the point of pulling over and asking my hubby to please come get me while all I could do is cry. I spoke to my rheumy and she checked my B12 which was on the low side so she started me on B12 injections at home. They have helped a lot. I still have some days where I am more fatigued than others but not to the point I can't make it home. I hope this helps.

This is me everyday after work. I am ok in the morning and the after work the exhaustion and fatigue is overwhelming. There are days when I can be walking around TRYING to wake my body up and nearly fallen asleep while walking. I feel your pain. Some one left me a suggestion yesterday that I haven't had a chance to try yet but I will pass it on to you anyway. Raise your hands in the shape of a "V" and do some deep breathing in through your nose and back out your nose. The extra oxygen is supposed to help with the fatigue and maybe it will help you get home at least. I would do it before right before you leave. I hope this helps and pray for your health and safety.

I have tried the window trick...to no avail. This is new and strange and I don't like it! I leave the house feeling awake, finished cup of coffee for a little extra zip. I work about 40 minutes from my house. I get about 3/4 of the way to work and then I feel like I need to pull over and nap immediately. For NO good reason. I fight it - and arrive at work and feel perfectly awake once I arrive.

As much as I'd like to say it's a boring ride - nope. Need to be aware because of rush hour traffic and multiple construction zones. I will try the breathing (can't drive and do the whole V thing...but I'll practice deep cleansing breaths) and the lollipop trick. Today I grabbed my mints and popped one and it did help. I'm going to keep an eye on it though because I just do not like the feeling it gives me and I worry it could become a safety issue (which would be a big problem because I am not full-time work from home...)

Thanks all for the comments and suggestions - they mean a lot!

I have this problem also. It is terrible. I have fallen asleep more than once driving and woken up on the wrong side of the road. The only thing that has helped me is eating a lollipop. I know is sounds goofey, but it keeps me awake. I keep lollipops in my purse or car close enough to grab when I feel like I can not keep my eyes open. I am sorry to hear you have this problem too. Very scary.

Ouch - the disease has not affected me that way but I don't like driving at night cause my eyes get really sore. An old truckies trick for stimulation whilst driving is eating an apple. It may not make any difference, but then again it may.