Lynne
                    
                    
                    
                    
                    
                    
                    
                        
                        
                        Hi Geraldine,  Some people get relief from the fatigue by taking the prescription drug, Plaquenil (hydroxychloroquine sulfate).  It is also important to pace yourself.  Try to schedule activities with rest periods in between.  Listen to your body and rest when needed.  Sometimes the fatigue can be caused by Fibromyalgia which can accompany Sjogren's.  You should talk to your doctor about the extreme fatigue.