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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by Robert35 on May 13, 2008, at 15:54:49
Hi Atmlady,
Since mentioning starting Provigil (prescribed by my paindocs) like I wrote about a few weeks ago on this forum I really wanted to share my experiences (like promised).
For this moment however I have not enough to conclude decisively as I have had a lot of startup trouble (which I best mention in a later stadium); up till now I still experience a lot of fatigue and apparently the provigil doesn't do much against chronic pain and fatigue (maybe bc I have to cope with pain throughout the day).
I will update however hopefully soon.
I know you also take Ixel and reading about this med it strikes me it might be very helpfull against pain and painrelated issues (like fatigue) as this med is even more powerfull acting on NE than Cymbalta and Efexor.
If things don't improve after the next two to three weeks I want to discuss with my paindoc to prescribe Ixel.
It isn't available in the Netherlands (where I live) however.
I know I cannot ask anybody for a source on this board.
Without infringing on the rules of this forum, could you please e-mail me with some info about acquiring Ixel (with a prescription) in a legit way in Europe ?Thanks in advance,
(oh and btw ... did you do your workout yet :-P ?)
best wishes to (all of) you,Robert
Posted by atmlady on May 13, 2008, at 22:54:29
In reply to Attn. atmlady ... Ixel plus Provigil, posted by Robert35 on May 13, 2008, at 15:54:49
Hey, Robert - I babble-mailed you some info that I hope will help you. I only take 100 mg of ixel which I understand to be more beneficial to depression. Those with fibromyalgia and pain take 200mg. After 100 mg there is no increase in mood elevation but there apparently is increase in pain relief.
I have also experienced some fatigue while on provigil and am experimenting with not taking it on the weekends (perhaps 5.5 hours of sleep a night is not enough?). Too early to say how it's going, but so far so good, I don't really feel the effects of not taking it until Sunday, which is a great day to lay around sleeping and doing nothing, whereas if I'd taken the Provigil as usual I'd be go go go like always.
I'll just add for those who are interested. While taking the Ixel/Provigil I often feel those chills on my arms or legs like whoo! I always thought it was the Provigil, after all, it's a stimulant. But after a few weekends of no Provigil, I know now it's the Ixel! Have I mentioned how much i love Ixel? And Provigil? But Robert, I'm just assuming you are of the male species, be aware that there may be some urinary issues with the Ixel that seem to affect men but not women. Hope you can avoid them. I have experienced no problem with weight gain or sexual dysfunction on ixel, both of which were problems for me with lexapro and effexor. Good luck, man!
Posted by Phillipa on May 13, 2008, at 23:14:36
In reply to Re: Attn. atmlady ... Ixel plus Provigil, posted by atmlady on May 13, 2008, at 22:54:29
Gotta google this Ixel sounds good. Female. Phillipa
Posted by Robert35 on May 14, 2008, at 15:48:52
In reply to Re: Attn. atmlady ... Ixel plus Provigil, posted by atmlady on May 13, 2008, at 22:54:29
> Hey, Robert - I babble-mailed you some info that I hope will help you. I only take 100 mg of ixel which I understand to be more beneficial to depression. Those with fibromyalgia and pain take 200mg. After 100 mg there is no increase in mood elevation but there apparently is increase in pain relief.
>
> I have also experienced some fatigue while on provigil and am experimenting with not taking it on the weekends (perhaps 5.5 hours of sleep a night is not enough?). Too early to say how it's going, but so far so good, I don't really feel the effects of not taking it until Sunday, which is a great day to lay around sleeping and doing nothing, whereas if I'd taken the Provigil as usual I'd be go go go like always.
>
> I'll just add for those who are interested. While taking the Ixel/Provigil I often feel those chills on my arms or legs like whoo! I always thought it was the Provigil, after all, it's a stimulant. But after a few weekends of no Provigil, I know now it's the Ixel! Have I mentioned how much i love Ixel? And Provigil? But Robert, I'm just assuming you are of the male species, be aware that there may be some urinary issues with the Ixel that seem to affect men but not women. Hope you can avoid them. I have experienced no problem with weight gain or sexual dysfunction on ixel, both of which were problems for me with lexapro and effexor. Good luck, man!Thanks a lot atmlady :-)!
I owe you one (glass of modafinil or something ;-)).
(Also thanks for your babble-mail !)
Good info about the dose ... I will look into that further.
In an article somewhere I read modafinil apparently doesn't interfere with sleep and sleep pattern.
After a few days of use I get exhausted by the end of the afternoon plus have trouble going to sleep; when I use it on a easy day (in weekends)I have no trouble at all sleeping and even get some extra sleep.
Why it is so difficult to get to sleep after a few days on mod. puzzles me ...
Like you mention I too skip one or two days on friday and in the weekend (it is like the effect subsides in *days* rather than say 12-15 hours).
What was a nice surprise: on easygoing days I can exercise and feel satisfaction from the exercise afterwards (which I normally don't experience; exercise just makes me exhausted. Still did this to keep muscles etc in reasonable shape ;)).
I apparently need to build up some energy (I think because my physical energy gets drained by pain) for physical exercise; I am too exhausted normally after work to e.g. run.
I don't run excessive lots btw... nowadays about 30-35 mins. of slow/moderate running (and some workouts).
Maybe the exercise (now on provigil) is one of the reasons of sleeping so well (normally it doesn't: feeling tired but not able to sleep ... strange huh ?).
Good to hear that you fare so well on Ixel !
But let me tell you you can also get shivers from
provigil :-) .
I want to discuss going of prozac and starting Ixel at my next visit to the paindoc.
Meanwhile (before drawing to any conclusion) I want to stabilize on provigil and I want to take some time for that.
I cut down half on ultram (taking 50 mgs a day at this point).
I want to slowly taper off to see if it is still giving me benefits.
Mentally I feel much more energetic and cheerfull now with the provigil; on the physical level I still have big trouble and should consider what to do.
Going up on prozac (taking a minute 15 mgs a day now) shouldn't help I guess; NE action is the best choice.
My paindoc said of prozac no analgesic properties are know.
Luckily I had no trouble with nortrilen (nortriptyline) regarding urinary problems.
I read it could be mainly an issue with men with enlarged prostates (which I don't have).
When I have come up with some kind of conclusion or when I have spectacular news I will report :-)!Take care, good luck with your classes and your photography (and the rest of course).
Robert
Posted by elanor roosevelt on May 15, 2008, at 23:18:07
In reply to Re: Attn. atmlady ... Ixel plus Provigil » atmlady, posted by Robert35 on May 14, 2008, at 15:48:52
I always thought it was the Provigil, after all, it's a stimulant.
my pdoc told me that provigil is not considered to be a stimulant
that it makes one "more wakeful"
wrap your brain around that -- hey
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