Posted by psychosage on May 18, 2004, at 11:59:58
In reply to Provigil, anxiety, ADD, posted by zeugma on May 17, 2004, at 17:53:14
> I am thinking of making a trial of provigil after I finish ramping down on nortriptyline (currently at 50 mg). Lowering the nortriptyline dosage has already helped my fatigue, but I have always have serious anergia and many narcoleptic symptoms (frequent sleep paralysis and hypnagogic hallucinations), which are mostly blocked by Strattera, the nortrip I am discontinuing, and 15 mg buspirone just before I go to sleep. My ADD is improved by the Strattera, but I still expend lots of energy trying to concentrate, and I am anergic to begin with. I also have social phobia/ general anxiety which is helped by clonazepam (ciurrently, 1 mg/day). My recent depression (which i am still struggling with) is exacerbated by the fatigue, so lowering the nortriptyline has helped with this.
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> My questions are:
>
> Did Provigil cause anxiety?I do not take it for ADD, but I haven't found it to cause any extra anxiety.
Does it lessen fatigue?It does, but the results tend to taper off, and you will build tolerance. It definitely will pick you up for an indefinite period of time.
What sort of impact does it have on ADD?I am not sure if I should answer this, but it does help concentration and motivation though some people have had trouble finding words on it I have read. I had this problem at first too. I had the right word in mind, but the wrong word on the tip of my tongue. It was weird trying to fish out my own words.
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> I have heard that it works well in concert with Strattera. I currently take 80 mg in the morning. I think Strattera probably works better as a BID drug, owing to its short half-life, but I seem to need 80 mg to keep my concentration going into the early afternoon. Then it seems to fade. My thought is that with Provigil I could divide the doses of Strattera and still obtain the benefit of improved concentration during the workday, while the Strat in the late afternoon/evening would actually help my sleep (NE reuptake inhibitors block the secondary symptoms of narcolepsy that i mentioned above). I am looking for a stimulant, but one that will not increase anxiety or cause insomnia.
poster:psychosage
thread:347935
URL: http://www.dr-bob.org/babble/20040515/msgs/348178.html