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    Dr. G - Provigil
    ddnos posted:
    Hi Dr. G.

    I take Provigil 200mg as needed - some months I may take it 50-60% of the month, and other months only take it 10% of the time...just saying this so you know I don't take it daily (pertinent to my question)

    So I have noticed the past 3-5 times I have taken provigil that it hasns't been as effective as normal. In the past, if I woke up early, I would take a pill and then go back to bed and wake up within 1.5 hrs full of energy and elevated mood. But lately, I will sleep 2-3 hrs after med, and some days even take a 2 hr nap in the afternoon. The whole purpose for me to take this med was so that I don't sleep all day.

    The difference between now and before is I'm currently on a lower, non-therapeutic dose of Nardil from trying to wean off it, so have been more depressed (along with some other stress related stuff going on), so could that be the reason why Provigil hasn't been as effective for me lately? To be clear, it still works to a degree, just not as well as it used to. What do you think?

    Thank you
    Forgiveness is letting go of the hope that the past could have been any different --Unknown
    Joseph F Goldberg, MD responded:
    Dear Debbie,
    It's possible you had been noticing an additive benefit between midafinil and the higher dose of Nardil, which is cumulatively less on the lower Nardil dose. There is no known drug interaction between Nardil and modafinil so it's not a "chemical" interaction effect. Also if you are aware of feeling more depressed, it's possible that a higher modafinil dose taken on a more regular basis would deliver a better effect.

    Dr. G.
    ddnos replied to Joseph F Goldberg, MD's response:
    Thank you, Dr. G., but I'm not sure what you meant when you said, "It's possible you had been noticing an addictive benefit between modafinil and the higher dose of Nardil." I don't understand the use of the word "addictive" in this context because I thought that neither Nardil or Modafinil were addictive? I mean, I know that Nardil isn't, and I thought that Modafinil isn't either? Could you please explain?

    Thank you

    Forgiveness is letting go of the hope that the past could have been any different --Unknown
    Joseph F Goldberg, MD replied to ddnos's response:
    Dear Debbie, "Additive," not "addictive." Dr G
    ddnos replied to Joseph F Goldberg, MD's response:
    Dr. G. lol that's funny because before I replied I even wondered if you said "additive" and not addictive, so I double checked. Well, obviously, my eyes still saw "addictive"......ooops!

    Forgiveness is letting go of the hope that the past could have been any different --Unknown

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