Posted by MarkinBoston on February 13, 2001, at 18:42:54
In reply to getting provigil, posted by Al22 on February 12, 2001, at 14:24:00
> I was currently taking Effexor for depression and was interested in trying Provigil or modafinil, because of the study posted about its use in augmenting AD drugs.
I'm on Effexor and have tried Ritalin, Adderall, and Provigil. I like the first two better than Provigil. I just wasn't very impressed with it at all, hardly making a dent in the bottle before going back to Adderall. Besides, Provigil costs about four times as much as generic Ritalin.
I don't think you're missing out at all and rate the chance that Provigil is beter for you than the other drugs your doc has experience with as very unlikely. Chance that your relationship with your doc would get rockier are more likely.
Instead, I'd suggest after a month on Ritalin that you might give Adderall a try. Its a different drug structurally with a longer half-life so it may work better and is more convenient.
I don't know what paper you are talking about, but take some of them with a grain of salt. Who funded the study? Did it show Provigil as better than Ritalin or Adderall for adding to Effexor? Or did it show that the combo was better than Effexor alone? If that's the case, I'd read the fine print to see who funded it. It doesn't mean the researchers lied, just that other combos may have been better, but they weren't being paid to publish that finding.
As best I can recall, Dr. Jensen's order of trying stims is Adderall, Ritalin, dexamphetamine, Provigil, methamphetamine, and one other. Meth is low on the list because of the abuse potential and many pharms don't stock it.
poster:MarkinBoston
thread:53816
URL: http://www.dr-bob.org/babble/20010212/msgs/53914.html