Provigil dosing

Posted by pedr on February 10, 2011, at 23:53:18

Hi P-Babblers,
I am on 90mg Nardil and it makes me really sleepy during the day. To counter this somnolence I take 20mg Provigil first thing in the a.m.
For a month or so the Provigil worked well but increasingly the sleepiness has began to return. (Puzzlingly some days are OK but the very next day I will literally fall asleep at my desk at work 5 times)
My PDoc has approved going up to 30mg but I'm wary of dose escalation.
I'd like to know if upping to 30mg could speed-up provigil's loss of efficacy - is it a case of the body/brain acclimatizing more rapidly the more Provigil there is floating around? Or is it by only partially treating the somnolence am I hastening the reduction in its effect?
Thanks!
Pete

Treatment Resistant depression, anxiety, OCD: 13 years
IBS-C & GERD: 8 years
Current meds: 90mg Nardil, 300mg Zantac, 20mg Prilosec

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Provigil dosing pedr 2/10/11
Re: Provigil dosing jjjaspar 2/13/11
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