Posted by zeugma on August 26, 2004, at 19:41:44
In reply to um.....interesting dialog on PROVIGIL.......oh my, posted by alesta on August 26, 2004, at 11:47:50
thanks amy for posting the link, i read all the invectives. I am planning on taking 100 mg Provigil tomorrow, no Ritalin, to see what happens. here are some observations over the past few months:
Provigil does cause a lot of side effects, mostly gastrointestinal, a feeling of being slightly queasy. It can cause insomnia (which I can't tolerate for long). It is known to be ineffective against cataplexy, that is why TCA's or SSRI's are typically coprescribed for narcoleptics (the same is true for those taking Adderall or Ritalin).
Cognitively: it does cause a slowdown. This may actually be how it works for ADHD, when it does work for that condition. For me it is a possibly therapeutic effect, where I can't resist the impulse to 'zone out'; there's a kind of pause in that process that it causes that leads me to pull myself out of the fog. I don't know if Ritalin does this because I have only taken 10 mg/day of Ritalin and while that has an effect it is not an optimal dose. I won't be able to up the dose of Ritalin until next time I see my pdoc and it seems he prefers that I see what Provigil does. In any case I have enough Provigil to get me through to next appt. but I need to be sparing of the Ritalin. I think he considers provigil safer to combine with nortriptyline. I'll post results of my experiment in the next day or two.
-z
poster:zeugma
thread:382548
URL: http://www.dr-bob.org/babble/20040825/msgs/382666.html