I'm sorry to hear that you have it so bad. It seems we're all stuck with tackling the disease by a seperate medication for each manifestation, trying to get mild exercise and adequate sleep, and hoping for some periods of relative remissions. Plaquinil has helped me a lot with dryness, wherever it appears, and tramadol (mild opiate) has helped with the fatigue and the blues. Best of luck, and be sure you have a top rheumatologist.