Posted by JohnL on October 18, 2000, at 4:41:33
In reply to provigil. . . adrafinil? , posted by cole on October 17, 2000, at 19:25:27
Cole,
Just my experience, but Adrafinil is so much better than Provigil I can't find the words to tell you.I had the EXACT same response to Provigil as you. Spaced out, easily exhausted, overall yuck. And oh my, what a price tag indeed! And like you, I also had the same reaction to Wellbutrin. So you and I could apparently be on the same page.
I certainly can't predict what the best thing to do is. But I can say, in your shoes, I would for myself order some Adrafinil today, stop Provigil today, start taking Adrafinil in about a week when you get it, and look for a good response from 2 to 4 weeks after that. All I can say is, it isn't anything like Provigil. Just the opposite. And the $25 price tag is nice. It amazes me how something so cheap and so mild can work so good. I don't understand that. Nevertheless, it works great, and that's all I care about. The cheap price is icing on the cake.
Like you, I also take Remeron, though my dose is much lower than yours. So I can verify from months of personal experience that Remeron and Adrafinil do go together rather nicely. This may be especially interesting since you and I seem similar in a lot of ways. If you try Adrafinil, don't expect immediate results. You may not feel anything for a week or two. I doubt seriously you'll feel any of the yuckiness you did with Provigil. And if you're like me, just one tab a day is all it will take for increased energy, motivation, renewed vitality, and improved cognition. It is strange though how these effects come on gradually over several weeks.
Someone mentioned concern over liver enzymes with Adrafinil, in another post. I forgot to address that. Hopefully they'll read this. The liver enzyme situation is rather rare, but occurs primarily at higher doses (3 to 4 tabs a day) for extended periods of time (months or years). Low doses like 1 or 2 tabs a day are not likely to be much of a risk. Regardless, it's always a wise move to have a liver test once or twice a year anyway while taking ANY psychiatric medication, not just Adrafinil. After six months with Adrafinil at one tab per day, my liver test came back looking the same as before I started.
John
poster:JohnL
thread:46605
URL: http://www.dr-bob.org/babble/20001012/msgs/46648.html