Hello there! I hope this finds your friend suffering from Sjogrens doing well. I was diagnosed with Sjogrens almost 4 years ago. I do take pain medication as my joint and muscle pain are a serious problem. However, I also have issues with skin rashes, failing eyesight and my teeth are falling out. I believe that this disease is very misunderstood and one that someone must experience to understand. The doctor's are not compassionate to the pain associated with this disease. Much more research needs to be done. Hang in there. don't give up your search for a competant doctor. Best of luck.