H Wendy, I am sorry to hear, you are having such a rough time. Unfortunately it sounds so very familiar. I am in exactly in the same situation.
I have been on the anti-tnf Cimzia injection for 2 years, and it has been up and down all the way, reflected in my CRP blood test. It can be down to 4 one month and then rise to 78 the next. At the moment it is 28, and I feel awful: pain in my shoulders, my knuckles, have difficulty walking, because of my knees. Had one knee drained 5 weeks ago with a steroid injection, but it did not help much. On top of that the awful tiredness, I am sleeping 10-12 hours a night, when my shoulder joint lets me.
The doctor is now talking about Rituximab, which you say, you have tried. How long have you been on it? I have not been so keen, as it seems so involved.
I am hoping, when the warmer weather finally arrives, we will all start to feel better. this cold and gloomy weather really gets me down. We need the warm sun with D-vitamin.
Warm greetings,
Merete