![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by elise on April 21, 2000, at 18:28:21
So I can't take 200 mg. provigil a day. I get too anxious. I didn't take any for 2 days and was falling asleep all day----(along with 30mg. prozac and 300 mg. day neurontin). I took 100 mg. provigil today and felt much better , but still somewhat "wired". Does this go away? Or should I cut back to 75 mg./day or maybe try 50 mg. 2 x a day????? Any thoughts? thanks, elise
Posted by DC on April 21, 2000, at 20:50:25
In reply to provigil help again?, posted by elise on April 21, 2000, at 18:28:21
What about adding some klonipan to the mix? Then maybe you could get the provigil dose up. I have noticed on Adderal that I am tolerate better now than I used to. I no longer causes the anxiety. The same may be true with the provigil--the receptors become less sensitive or something. (See post on dopamine "downregulation"
Posted by JohnL on April 22, 2000, at 5:07:18
In reply to provigil help again?, posted by elise on April 21, 2000, at 18:28:21
> So I can't take 200 mg. provigil a day. I get too anxious. I didn't take any for 2 days and was falling asleep all day----(along with 30mg. prozac and 300 mg. day neurontin). I took 100 mg. provigil today and felt much better , but still somewhat "wired". Does this go away? Or should I cut back to 75 mg./day or maybe try 50 mg. 2 x a day????? Any thoughts? thanks, elise
Elise,
since all of us have different chemistries, it makes sense to me that different doses for different people will provide different results. Sometimes only a tiny dose is needed to correct the problem. So if you find Modafinil is beneficial at a substandard dose, cool, don't argue with results. As an example, the minimum literature dose of Prozac is 10mg a day. But some people do best at 5mg a day, or 10mg every other day. Someone else might need a dose much higher than the literature maximum. Prozac doses of 100mg to 200mg are not unheard of. Sometimes we have to take what literature says with a grain of salt and simply go with what works for us.It may be that as your chemistry acclimates to a substandard dose of Modafinil, you will later find a higher dose more acceptable. I prefer to simply go with whatever works and let medication reactions--positive or negative--guide me. We have to custom tailor our treatment to fit us as unique individuals with unique chemistries. JohnL
Posted by elise on April 22, 2000, at 11:59:05
In reply to Re: provigil help again?, posted by JohnL on April 22, 2000, at 5:07:18
> > So I can't take 200 mg. provigil a day. I get too anxious. I didn't take any for 2 days and was falling asleep all day----(along with 30mg. prozac and 300 mg. day neurontin). I took 100 mg. provigil today and felt much better , but still somewhat "wired". Does this go away? Or should I cut back to 75 mg./day or maybe try 50 mg. 2 x a day????? Any thoughts? thanks, elise
>
> Elise,Thanks john,
I took 75 mg. this a.m. and feel ok, but I still feel like i have these heart palpitations ---actually more like sighing (do you understand what I am saying?). I am now thinking that maybe it's the combination of the 2 drugs (prozac and provigil)that is causing this reaction. I don't know what to do. I am wondering if i take prozac later in the day if it would make any difference. probably not. I guess I'll see. later, thanks, elise
> since all of us have different chemistries, it makes sense to me that different doses for different people will provide different results. Sometimes only a tiny dose is needed to correct the problem. So if you find Modafinil is beneficial at a substandard dose, cool, don't argue with results. As an example, the minimum literature dose of Prozac is 10mg a day. But some people do best at 5mg a day, or 10mg every other day. Someone else might need a dose much higher than the literature maximum. Prozac doses of 100mg to 200mg are not unheard of. Sometimes we have to take what literature says with a grain of salt and simply go with what works for us.
>
> It may be that as your chemistry acclimates to a substandard dose of Modafinil, you will later find a higher dose more acceptable. I prefer to simply go with whatever works and let medication reactions--positive or negative--guide me. We have to custom tailor our treatment to fit us as unique individuals with unique chemistries. JohnL
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.