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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by alley-oop on September 19, 2007, at 12:03:34
I see my pdoc this weekend and we will be talking about something to augment the AD I am taking to help get me over the final hump. Although I no longer feel depressed, I do feel somewhat flat, listless and apathetic.
We have, in the past discussed both Concerta and Provigil. I would like people's opinions on which one I should think about trying and what your experiences have been with either or both.
Thanks so much.
Posted by sam123 on September 19, 2007, at 12:36:16
In reply to Augmentation - Concerta or Provigil?, posted by alley-oop on September 19, 2007, at 12:03:34
Insurance often does not pay for Provigil unless
it is for narcolepsy; you might want to check this first. Provigil is quite expensive.
Posted by alley-oop on September 19, 2007, at 16:39:02
In reply to Re: Augmentation - Concerta or Provigil?, posted by sam123 on September 19, 2007, at 12:36:16
Thanks for the response. My insurance does cover Provigil even if it's not being used for narcolepsy, so that is not a problem.
> Insurance often does not pay for Provigil unless
> it is for narcolepsy; you might want to check this first. Provigil is quite expensive.
Posted by Brody on September 19, 2007, at 17:12:47
In reply to Augmentation - Concerta or Provigil?, posted by alley-oop on September 19, 2007, at 12:03:34
> I see my pdoc this weekend and we will be talking about something to augment the AD I am taking to help get me over the final hump. Although I no longer feel depressed, I do feel somewhat flat, listless and apathetic.
>
> We have, in the past discussed both Concerta and Provigil. I would like people's opinions on which one I should think about trying and what your experiences have been with either or both.
>
> Thanks so much.
Hi alley-oop,May I ask which AD you want to augment?
Janet
Posted by alley-oop on September 19, 2007, at 17:53:32
In reply to Re: Augmentation - Concerta or Provigil? » alley-oop, posted by Brody on September 19, 2007, at 17:12:47
> Hi alley-oop,
>
> May I ask which AD you want to augment?
>
> Janet
Hi Janet,I will be looking at augmenting Lexapro (20 mg).
Thanks.
Posted by cumulative on September 19, 2007, at 19:41:04
In reply to Re: Augmentation - Concerta or Provigil? » Brody, posted by alley-oop on September 19, 2007, at 17:53:32
It depends on what your issues are. Concentration? Sleepiness? If I was on an SSRI I sure would want a direct dopaminergic (methylphenidate). But I'm my own man!
Posted by Falstaff on September 20, 2007, at 7:07:06
In reply to Re: Augmentation - Concerta or Provigil?, posted by cumulative on September 19, 2007, at 19:41:04
It is true that Provigil is expensive so that's great that's it's covered and that you have the option.
I have taken both. For me, Provigil wins hands down. It works better for alertness and concentration for me and has fewer side effects. However, I'm having an issue with its lasting ability - I do well until about 2:00 pm on 400mg in the morning. Then I start to burn out. We're trying adding even more Provigil in the early afternoon (I'm skeptical about this, won't go into why here) and if that doesn't do it we may augment with...Concerta. So, perhaps using both works best sometimes. But I would give Provigil a try.
Posted by alley-oop on September 24, 2007, at 13:43:00
In reply to Re: Augmentation - Concerta or Provigil?, posted by Falstaff on September 20, 2007, at 7:07:06
Thanks for the response, and sorry for the delay in responding (computer problems). I appreciate your sharing your experience and views with me. I will discuss both with my pdoc and see what his preference is. I'm flexible, but do need something to help with the apathy and amotivation I am experiencing. I am exercising daily and eating well and doing all the right things, but I still feel flat and blah - not really depressed but not my usual go, go go.
Anyway, thanks again.
> It is true that Provigil is expensive so that's great that's it's covered and that you have the option.
>
> I have taken both. For me, Provigil wins hands down. It works better for alertness and concentration for me and has fewer side effects. However, I'm having an issue with its lasting ability - I do well until about 2:00 pm on 400mg in the morning. Then I start to burn out. We're trying adding even more Provigil in the early afternoon (I'm skeptical about this, won't go into why here) and if that doesn't do it we may augment with...Concerta. So, perhaps using both works best sometimes. But I would give Provigil a try.
Posted by alley-oop on September 24, 2007, at 13:46:09
In reply to Re: Augmentation - Concerta or Provigil?, posted by cumulative on September 19, 2007, at 19:41:04
Sorry for the delay in responding and thanking you for sharing your views with me. My issues at this point seem to be apathy, some amotivation, concentration and some fatigue (although I am iron deficient, so that could explain the fatigue). In a previous conversation, my pdoc seems to be leaning toward Concerta, so he obviously sees a need for a direct dopaminergic. My appointment was resceduled, so I have to wait until next weekend to see what the verdict is.
Thanks again.
> It depends on what your issues are. Concentration? Sleepiness? If I was on an SSRI I sure would want a direct dopaminergic (methylphenidate). But I'm my own man!
This is the end of the thread.
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