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re: Provigil for AD sedation

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


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URL: http://www.dr-bob.org/babble/20030411/msgs/219756.html