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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by CareBear04 on June 15, 2004, at 21:01:24
Hi everyone--
I know a lot of people take Provigil with Strattera. Does this help counteract the tiredness that Strattera causes? I've been on Strattera for a little over a week, and I just doubled the dose. The fatigue that I had before when starting is even worse now. How does one obtain Provigil from one's doctor? My pdoc has no problem giving me Xanax and Ativan, but I've never suggested that he prescribe something like a stimulant. I'm taking Strattera for ADD symptoms and I really want it to work. Any suggestions? Please help. Thanks! CB
Posted by zeugma on June 16, 2004, at 20:25:51
In reply to Adding Provigil to Strattera, posted by CareBear04 on June 15, 2004, at 21:01:24
I generally think it's a bad idea to add one drug to counteract a negative side effect from another. Many people, myself included, have had better experiences with the pharmacologically similar TCA's desipramine and nortriptyline. Desipramine is more effective for ADD and more stimulating, while nortriptyline is more sedating and possibly a more effective antidepressant. If sleep is not a problem for you, I would recommend trying desipramine and you can always add Provigil or another stimulant later. These TCA's generate much fewer complaints of fatigue on this board.
Posted by Ktemene on June 17, 2004, at 0:40:54
In reply to Adding Provigil to Strattera, posted by CareBear04 on June 15, 2004, at 21:01:24
> Hi everyone--
> I know a lot of people take Provigil with Strattera. Does this help counteract the >tiredness that Strattera causes? I've been on Strattera for a little over a week, and I just >doubled the dose. The fatigue that I had before when starting is even worse now.How bad is your Strattera-induced fatigue? If it is not too awful, you might try taking Strattera at night or taking divided doses. This side effect does go away after the first couple of weeks in some cases. (My own experience was that the fatigue stayed with me.) I was already taking Provigil when I started Strattera, so I didn't start Provigil to deal with the fatigue caused by Strattera, but I did find that the fatigue diminished when I began taking my doses of Strattera and Provigil at the same time.
> How does one obtain Provigil from one's doctor? My pdoc has no problem giving me Xanax and Ativan, but I've never suggested that he prescribe something like a stimulant.
Provigil is listed as a Schedule IV med like Xanax, but it seems to have little potential for addiction. If your doctor is confident that you won't abuse Xanax then you doctor will probably have no problem giving you Provigil.> I'm taking Strattera for ADD symptoms and I really want it to work. Any suggestions? >Please help. Thanks! CB
Strattera can be terrific for ADD. Since you are only at the one week mark, it is quite possible that the fatigue will diminish on its own. On the other hand, there are pdocs who think that Strattera and Provigil work together synergistically for ADD. I don't know whether there have been any studies that showed added benefit when these meds are used together, but you might ask your doctor about it. Hang in there, and good luck!
Posted by bill ll on June 18, 2004, at 21:16:25
In reply to Adding Provigil to Strattera, posted by CareBear04 on June 15, 2004, at 21:01:24
I started Strattera 5 weeks a go. The first 3 weeks I took 60 mg per day, then I increased to 120 mg.
I felt tired the first few days, but that was it. I don't feel tired any more (I also take 30 mg Lexapro). Strattera makes me feel more relaxed and more focused.
If I were you, I would probably wait a few weeks to see if your tiredness gets better. If you do need Provigil, it's suppose to cause hardly any side effects.
This is the end of the thread.
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