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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by Jack Smith on April 15, 2003, at 17:53:17
If so, how is it working? What about stimulants? What AD's are you on and what dose of Provigil?
Posted by MattD on April 16, 2003, at 4:23:38
In reply to Anyone using Provigil for AD sedation?, posted by Jack Smith on April 15, 2003, at 17:53:17
> If so, how is it working? What about stimulants? What AD's are you on and what dose of Provigil?
I'm on it for sedation--extreme sedation, actually. My situation is complex. I'm coming off a high dose of Prozac (120mg) and am down to 40mg (for 10 weeks or so now) and 10mg Lexapro. The thought was to come off the Prozac completely and go to Celexa/Lexapro combo (I do much better on 2 SSRIs--though in this case we'll have to see if the two are different enough). Anyway, adding the Lexapro knocked me out, and then adding the Celexa (now at 20mg) made it even worse. I suspect that there may be other issues here--e.g. I've been ramping up the doses of caffeine in the last 6 months to very high levels, and I don't know what it has done with respect to my alertness during the day (I suspect that it has made it worse, unless I indulge in the large amounts of caffeine). Anyway, I first found 50mg of ProVigil to be helpful. Then 3 days later it wasn't. So I went to 100mg. That was helpful for a week or so. With each, I'd notice the alertness wearing off afer 8 or so hours. I experienced more alertness if I took the ProVigil with 200mg caffeine. Now I'm at 200mg and not getting much more of a response than I did at 100 mg. It's better than nothing, for sure, but it has lost effectiveness in increasing doses over 2 weeks.
Best,
Matt
Posted by university on April 22, 2003, at 13:57:54
In reply to re: Provigil for AD sedation, posted by MattD on April 16, 2003, at 4:23:38
i took provigil for SSRI (prozac) sedation. it work all right, but i could still easily nap/fall asleep after 200mg if i wanted to.
but since it's only approved for narcolepsy, my ins. wouldn't cover it--and it's very expensive.
Posted by Donna Louise on April 22, 2003, at 21:51:57
In reply to re: Provigil for AD sedation, posted by MattD on April 16, 2003, at 4:23:38
> > If so, how is it working? What about stimulants? What AD's are you on and what dose of Provigil?
>
> I'm on it for sedation--extreme sedation, actually. My situation is complex. I'm coming off a high dose of Prozac (120mg) and am down to 40mg (for 10 weeks or so now) and 10mg Lexapro. The thought was to come off the Prozac completely and go to Celexa/Lexapro combo (I do much better on 2 SSRIs--though in this case we'll have to see if the two are different enough). Anyway, adding the Lexapro knocked me out, and then adding the Celexa (now at 20mg) made it even worse. I suspect that there may be other issues here--e.g. I've been ramping up the doses of caffeine in the last 6 months to very high levels, and I don't know what it has done with respect to my alertness during the day (I suspect that it has made it worse, unless I indulge in the large amounts of caffeine). Anyway, I first found 50mg of ProVigil to be helpful. Then 3 days later it wasn't. So I went to 100mg. That was helpful for a week or so. With each, I'd notice the alertness wearing off afer 8 or so hours. I experienced more alertness if I took the ProVigil with 200mg caffeine. Now I'm at 200mg and not getting much more of a response than I did at 100 mg. It's better than nothing, for sure, but it has lost effectiveness in increasing doses over 2 weeks.
>
> Best,
>
> Matt
i take 150mg of zoloft and 10mg of buspar twice a day. I was sleeping all the time and had no motivation to do much of anyhting. Adding the provigil has helped alot. But it seems I am having the same reaction, that is the effect seems to be wearing off after a few weeks. Or it could be that I am just getting used to feeling this way as opposed to the dramatic difference at first. My psychdoc says 300-400 mg is used for ADD and depression so I can go up if I need to. I have been hoping that I have found the one drug that can help with the SSRI apathy since it seems I have to take the SSRI, sigh.Donna
Posted by Jack Smith on April 23, 2003, at 12:15:11
In reply to re: Provigil for AD sedation, posted by Donna Louise on April 22, 2003, at 21:51:57
> i take 150mg of zoloft and 10mg of buspar twice a day. I was sleeping all the time and had no motivation to do much of anyhting. Adding the provigil has helped alot. But it seems I am having the same reaction, that is the effect seems to be wearing off after a few weeks. Or it could be that I am just getting used to feeling this way as opposed to the dramatic difference at first. My psychdoc says 300-400 mg is used for ADD and depression so I can go up if I need to. I have been hoping that I have found the one drug that can help with the SSRI apathy since it seems I have to take the SSRI, sigh.
>
> Donna
>Donna, when you say that it is "wearing off", do you mean you are getting tired again? I am a little confused by your post since you said maybe you are just getting used to it now. Possibly only the Antidepressant effect is wearing off but you are not returning to your fatigued state? Please let me know.
Posted by pelorojo on April 23, 2003, at 14:56:48
In reply to re: Provigil for AD sedation » Donna Louise, posted by Jack Smith on April 23, 2003, at 12:15:11
I'm using Provigil to augment Wellbutrin and Lexapro. I've been on it about 6 weeks. Over time, the effects are less noticeable but are definitely still there for me - I can think more clearly, my memory is better, and my focus is better. It's not as energizing as it was at first but it feels less ... hmmm "drugged" if you know what I mean. I have virtually no side effects on this combo except for the occasional eyebrow or finger twitch.
Posted by Jack Smith on April 23, 2003, at 15:57:34
In reply to re: Provigil for AD sedation, posted by pelorojo on April 23, 2003, at 14:56:48
What doses of meds are you on? I'm on 150 fxr and 400 WB. How much Provigil do you take?
Posted by pelorojo on April 24, 2003, at 18:24:36
In reply to At what doses? » pelorojo , posted by Jack Smith on April 23, 2003, at 15:57:34
what's fxr (Effexor?)?
I take 15 mg of Lexapro, 400 mg of Wellbutrin, and 200 mg of Provigil + multiple other supplements (rhodiola, PS, fish oil, etc).
I like to vary the Provigil dose over a week. I usually skip it on Sundays, take 100 mg Monday & Tuesday, and then 200 mg Wed-Sat. This is because I usually need to re-adjust my bedtime on Sundays and because I like to have a minimal supplement/medication day once a week (I take my Lex and Wellbutrin consistently, tho).
I think this is the best combo I've ever taken. I have virtually no side effects outside of an occasional tic (usually my right eyelid and my left index finger). Even those have subsided.
Posted by Jack Smith on April 24, 2003, at 19:31:29
In reply to Re: At what doses? » Jack Smith, posted by pelorojo on April 24, 2003, at 18:24:36
> what's fxr (Effexor?)?
>You got it. By the way, how long have you been on this combo? (last question).
Posted by Donna Louise on April 24, 2003, at 20:17:41
In reply to re: Provigil for AD sedation » Donna Louise, posted by Jack Smith on April 23, 2003, at 12:15:11
> > i take 150mg of zoloft and 10mg of buspar twice a day. I was sleeping all the time and had no motivation to do much of anyhting. Adding the provigil has helped alot. But it seems I am having the same reaction, that is the effect seems to be wearing off after a few weeks. Or it could be that I am just getting used to feeling this way as opposed to the dramatic difference at first. My psychdoc says 300-400 mg is used for ADD and depression so I can go up if I need to. I have been hoping that I have found the one drug that can help with the SSRI apathy since it seems I have to take the SSRI, sigh.
> >
> > Donna
> >
>
> Donna, when you say that it is "wearing off", do you mean you are getting tired again? I am a little confused by your post since you said maybe you are just getting used to it now. Possibly only the Antidepressant effect is wearing off but you are not returning to your fatigued state? Please let me know.
>Sorry to be confusing. I am usually a tad confused so I am not suprised that I am confusing..
What I am trying to convey is the initial contrast was astounding, I felt so much more energized and interested in life again. Now I still feel that way, what I think has happened is that the 'speediness" is gone and instead I feel what I imagine normal must be. I have enthusiasm and hope, something I haven't had in quite awhile. I don't think that it is depression causing the apathy, I think it is the SSRI.
I am feeling the best I have in a long time. I even dare to dream that I can stop the SSRI and do well on just the buspar and provigil. Hate to get my hopes up again. No, I hate to have my hope dashed again!
I don't think that sounds too much less confusing. Let me know if I need to try again.Donna
Posted by pelorojo on April 25, 2003, at 10:26:35
In reply to Re: At what doses? » pelorojo , posted by Jack Smith on April 24, 2003, at 19:31:29
About 6 weeks. Prior to that I was on the Wellbutrin/Lexapro combo alone.
This is the end of the thread.
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