Posted by zeugma on May 17, 2004, at 17:53:14
I am thinking of making a trial of provigil after I finish ramping down on nortriptyline (currently at 50 mg). Lowering the nortriptyline dosage has already helped my fatigue, but I have always have serious anergia and many narcoleptic symptoms (frequent sleep paralysis and hypnagogic hallucinations), which are mostly blocked by Strattera, the nortrip I am discontinuing, and 15 mg buspirone just before I go to sleep. My ADD is improved by the Strattera, but I still expend lots of energy trying to concentrate, and I am anergic to begin with. I also have social phobia/ general anxiety which is helped by clonazepam (ciurrently, 1 mg/day). My recent depression (which i am still struggling with) is exacerbated by the fatigue, so lowering the nortriptyline has helped with this.
My questions are:
Did Provigil cause anxiety? Does it lessen fatigue? What sort of impact does it have on ADD?
I have heard that it works well in concert with Strattera. I currently take 80 mg in the morning. I think Strattera probably works better as a BID drug, owing to its short half-life, but I seem to need 80 mg to keep my concentration going into the early afternoon. Then it seems to fade. My thought is that with Provigil I could divide the doses of Strattera and still obtain the benefit of improved concentration during the workday, while the Strat in the late afternoon/evening would actually help my sleep (NE reuptake inhibitors block the secondary symptoms of narcolepsy that i mentioned above). I am looking for a stimulant, but one that will not increase anxiety or cause insomnia.
poster:zeugma
thread:347935
URL: http://www.dr-bob.org/babble/20040515/msgs/347935.html