Nuvigil Doses
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can anybody tell me if they are prescribed more than 250mg per day for nuvigil. I take a 250 mg tablet at 8 a.m. and feel like I need another by 2:00 in the afternoon......my day does not end until around 8:oopm --- I gotta be alert, alive and active till then.
I was taking Dexedrine for this "breakthrough" period, but that can not be had anywhere!...it's missing on the market, nobody (pharmacies) can get it anymore.
Nuvigil has been a miracle med for me, as many of my other psych meds cause extreme fatigue, pdoc prescribed this.....miraculous, not to mention helping me lift out of a two year depression....between this med (nuvigil) and Latuda---my life has finally changed....just trying to work out the kinks.
Thank you for taking the time to read....I appreciate any feedback
Hi I am with you on cutting the dose and have been doing so since I started due to the high cost. Now on Armodafinil a Generic of Nuvigil. Doing the same with the 250 dose, but the current dose is 200 which has 220 on each pill and cannot get a straight answer on this dose. Got any ideas? Frugal Bob
I can't tell if you got my reply. Are you in recovery? I may be able to help you by sharing my experience, even just easing your mind a bit on the issue.
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Hi I'm right there with you on this one. We can be hard on ourselves. I always am freaking out that I'm relapsing, which is my worst nightmare, and I know how slow and invidious addiction can be. I also realize we can trick ourselves with motives. Having said all that. I sometimes need two. I have heath issues where the medication causes fatigue, I'm on medication for bipolar 2 disorder as well as physical disability, which cause fatigue, along with both disorders. I have a neurological disease MS which causes fatigue. Don't be hard on yourself. Check your motives and to thy own self be true. If you are using it to chase a high, deep down you will know this. I remember before I got sober I abused ADHD medication. Deep down, no matter how I rationalized it,I knew my motives. Peace and ODAT
I have Multiple Sclerosis and I am on two doses of 250mg a day. I take one at 5:30am and then another at 12:30 before lunch.
But that may change since I just got a letter from my insurance saying they won't cover it starting July 1 now that there is a generic of Provigil. (I won't go into my rant of how basic meds and the slow release aren't quite the same thing) So it looks like I will be taking more freakin' pills... I'm already at 10 a day.
Hi, I just started on Nuvigil (right as it was going generic so a couple weeks ago) and before that my doc had me on straight melatonin (3MG) and that did ok! However adding the Nuvigil really kicked the melatonin and the effects of my Concerta's boosting effects up to max! It appears you aren't on melatonin and have had similar sleep issues to me (I was like Sleeping Beauty until the melatonin which I was on for 6 weeks and then the additional Nuvigil). If your doctor hasn't put you on melatonin I would ask them about it! Melatonin is usually a sleep aid (it is all natural) that is given to people at night to help induce and regulate sleep but in some (rare) cases like mine it is given in the morning to help push a person's sleep cycle later! Also, with my Nuvigil and melatonin in the morning I sit for 15-20 minutes while eating breakfast with my light box (a Sunsation brand light box which helps a bit). It is still a tiny bit of a struggle as I have just started the Nuvigil but I find the combination of 3-6MG melatonin a day (I sometimes have to adjust on my own to 6 depending on how I feel but don't recommend unless your doc says it's not an issue) and my doc says my adjustments aren't a big deal and it works fine! I am on 100MG less of Nuvigil than you. Melatonin can be gotten over the counter in the USA and I believe Canada in drug and grocery stores.
Hi, I was diagnosed with fibromyalgia, narcolepsy, sleep apnea, depression, and a couple other things several years ago. I have tried all kinds of meds. I am on welbutrin and cymbalta, lyrica,for the fibro and depression. On 18 mg. Ritalin for my adhd,on nuvigil 250mg. one a day. Also Mobic 2a day 10 mg.for arthritis, also suppose to take 4 oxycodon 10/ 325 for 4 herniated disc. In my mid back and slipped disc in lower back. I do not take pain meds very often because I have a very high tolerance for pain. I have no energy to do anything at all. I guess I am wanting to know if higher doses of meds would help? Dr. had me on 4-20mg extended relief adderall a day and still had no energy. Took several naps daily and still no energy. Any suggestion to take to my dr. would be greatly appreciated.What can I try to help me?
I am prescribed 2 250mg nuvigil a day.I take 1 and 1 half before work and then take the other half 4 hour's later
5JB0817, I know that your post is several years old but, FYI-there are people who are known as 'rapid metabolizers' and because of the
genetic liver enzymes that they have, medicines like NUVIGIL don't work as long for them. Look up rapid drug metabolizers. There are genetic blood evaluations for this.
Hi Stacy, My name is Greg, I'm interested in speaking with you further. I'm currently 36 yrs old and was diagnosed with MS when I was 19. I also went thru a denial period, but went on some meds in my 20's. Then I had a bad relapse which had me in the hospital for 16 days. Got out feeling great, stupidly I stopped all meds, Was doing great until about 5 months ago when my entire life changed, Had the worst relapse ever and my current neurologist said I may be on my into secondary progressive MS. I'm still not close to being close to proper. I've taken enough Prednisone to awaken a dead horse, I got put on Nuvigil for the constant fatigue which seems to help but it really wasn't what I was anticipating. Meaning I get back to being tired sooner than i thought. I'm more interested about the MS if you dont mind talking about it. Thank you and hopefully speak to you soon.
Ok, I am a 7 year recovering Encephilitis victim & most people have NO IDEA what tired and un-motivated is. After YEARS of fighting to be somewhat normal. Nuvigil is an absolute GOD send. I am a 37 yr old Mom that has fared extremely well under the circumstances BUT I still cannot make myself take a bath or brush my hair without Nuvigil. NO DESIRE FOR ANYTHING!!!! The cezures that came with the illness didnt help matters( Cezure Pills ) Since there isnt alot out there for the types of Brain problems some of us have guys. My Neurologist & Pain physician have me on Nuvigil 250mg 1/2 to 1 per day along with Hydrocodone x3 per day. The combination of the 2 keeps me up, happy, pain free and with a little Desire. Without it. Forget it!! The Nuvigil keeps me up & with Desire. The Hydrocodone kills the pain and adds the energy. My Neurologist says that this is the best we can do & I get tested once a year. My organs are perfectly fine. I have NO ill effects with Nuvigil and it is not for speed. Nuvigil to me is for staying power and Task desire..Thats hard to find in any medication or concoction, much less with no ill effects. You are NOT going to get speed out of this BUT it will help and it will keep you up.
I used to take 3 250mg. of nuvigil a day. After my lay off and changing my insurance, I was only able to receive 1 250mg a day. I have MS AND My fatigue was so crippling that 3 x day grounded me. I didn't feel hyper or drunk but focused and alert. My depression ended and my self confidence emerged. Trust me, I wish I could tell you that Nuvigil is not needed to achieve such improvments, but in my case, years of trying all sorts of alternative cures has proven otherwise. I never read online blogs and this is the first time I've replied to one. It's comforting to read that I'm not the only sufferer needing help. I hate that a pill/pills makes me feel normal. It is cruel that insurance companies trump doctors. Now my fatigue is back, my depression resurfaced and ambition is non existent. MS and stress are a bad combination. On 3xday I had no side effects. I could even fall asleep easily after work. Now that I'm not taking it 3x daily, I feel drugged and zoned out. Irony.
Holy cow! I just saw your post to Stacy...and if that's me, Stacy - I don't remember what we may have been communicating about...big surprise on the memory thing... Please reply IF and WHEN you see this!!!
Yes - NUVIGIL is a lifesaver for me as well! My body "metabolizes" meds at a very high rate -- and I'm at the top of Nuvigil's recommended dosages. I take 2 of the 250mg's per day: 1 in the a.m., 1 mid-afternoon. I have MS with more cognitive problems than physical. I also have depression, & horrible adult ADD - so combine that w/MS' brain SHORT-circuiting and the ADD, throw that in a blender- and voilà! So not only does Nuvigil actually get me OUT of bed - it is what gives me motivation to LIVE LIFE, break out of isolation, & reach out to others. Relieving my depression (atypical depression) is another bonus! Biggest complaint: EXCESSIVELY HIGH COST! I am paying $1100.00/month right now for a 30 day supply. My Nuvigil "savings card" has apparently expired - and all attempts to get SOME KIND OF FINANCIAL RELIEF from the manufacturer have been met with closed doors. But where there is a will, there is a way...
Hi Stacy. I know I am replying over a year later so I don't now if you're going to get this but if so I am in Dallas and need a recommendation. I don't know how to get in contact with you though a they edit email addresses. I look forward to hopefully getting a reply from you. Thanks in advance!
Hi...this will help.....go to cephaloncares.com..Cephalon is the manufacturer of nuvigil...I also dont have insurance...i actually take 1 1/2 250mg. tabs a day and it is FREE you have to apply but if you don't make alot of money and no insurance they will probably do the same for you...they are also very nice and helpful...good luck!!!
Hello there, I got my 1st prescription of Nuvigil 150 mgs for free with the manufacture's coupon, & my Dr. had to adjust my dose to 250 mg before the 30 days was up. I went to get it filled & even with a discount card it was $549, I can't afford it. I don't have health insurance or Rx coverage, does anyone know how I can get my medication for less? Im on 72 milligrams of methadone for opiate dependency, & suffer from extreme fatigue, so with methadone my tiredness & fatigue are doubled. I totaled my car & was hit by a semi on the highway about 3 weeks ago, so I desperately need my Nuvigil prescription. Is there any help out there?
Id like to share my experiance with nuvigil and clear about alotnof the roomers on what it does or doesnt. I feel people sometimes only post the bad and the people who like it dont feel the need to post.ok so short as i can here it goes ive had depression and apnea following extreme daytime sleepyness since i was a child i jus hate the daytime lights all bothered me it effected me so much i worked at nights. I drank coffee all that did was bring me up fast then jittery anxious. Adderall rittilan same thing. I found out why even though i was in bed 9hrs a nite i wasnt going int deep sleep r.e.m i wake up every hr cuz of the apnea. So i never got into deep sleep so its not the hrs ur in bed its the amount of uninterupted dream state sleep that counts. Now with that said nuvigil is awesome ok i got prescribed 250mg guys girls dont take that much! U do notnneed it i cracked em into threes and take 55-70mg a day. People say its like a strong cup of coffee and that its artificiap enrgy and u crash this is completly not true nuvigil is not a stimulant at all so it doesnt geek u out and crash like coffee. The reasons it keeps u awake is still unkown. My experiance is its made me a better person i feel like ok get up move we got stuff to do things to take on money to make get to the gym it motivated me! U dont feel like your on a drug guys your not hi u dont feel anything just good. And yes u will get tired at the end of the day but for me it feels like totally normal u put a days work in time to sleep not my hi ran out im crashing. It really gave me my life back. I do know u get tollerant to any drug so i do take days off and i feel fine. I think so many of u are getting a placebo effect from the negative stuff u read. Also the reason i believe u guys are so tired still is becsuse of other meds ur on. Like antidepressants sedate the heck out of u so nuvigil is working against that thats why i cut out anti depressants cuz of the sedation. The weird thing is im happier on nuvigil no depression i started a new busness and im doing great. And my appetite is great as opposed to people saying it killed theirs. Also i dont get tired after eating a big meal and i havnt taken my afternoon nap since ive started nuvigil. But guys girls if your not sleeping and on antidepressants thas why nuvigil isnt working its not gonna fight all that. I love the drug but moderation is key. The reason ur getting 250 prescribed is cuz its 400 a month and they are slamming the insurance comp. I don have insurance and even if i did i still wouldnt take 250. Hope this helps anyone wants to ask me anything i will respond. I read alot of post and noone really has said what ive said i feel this needs to be heard. We have one life guys one we dont have time to waist feelling bad waiting for antidepressants to work then when they work fighting off the sedation i did all that crap. Thank u all for ur time and i share all of your issues guys im not talking down to anyone :-)
I'm about the same age as Stacy and for the past two decades have fought the tiredness that comes with depression and is exacerbated by anti depressants. I have taken almost every medicine used in psychopharmacology. When I took Dexedrine, Ritalin, Adderall, I often became agitated. The Nuvigil is great. However, when I take one 250mg in the morning, I'm zapped by or before 2:00pm. I know my dopamine system is broken. In the past, I was taking the daily max. of hydrocodone due to pain)(which coincided with my taking antipsychotics to boost the anti depressants. Stopping the antipsychotics and hydrocodone at the same time was just awful. However, I still have pain. Taking a small amount of the hydrocodone with the Nuvigil makes me act normal. Otherwise, I am always tired and not very fun to be around. I have an amazing skill set, however I've locked myself away for the past two decades. I was just always too tired. My psychiatrist goes strictly by the books. Also, I don't want to keep needing to increase the dose of Nuvigil. However, this is the first winter I have ever endured this well. For the past two decades, the tiredness has left me with a constant death wish. If not for a supportive family, I would not be here. I know the dosing on the Nuvigil is arbitrarily determined. I would love to hear from stacy or anyone who is a patient in the system. I've been hospitalized five times. Put through a series of twelve shock treatments. Bailed out on being a part of the VNS trials. Am currently considering the option of deep brain stimulation in FL. I've tried Prozac, Wellbutrin, Anafranil. Parnate, Paxil, Remeron, Celexa, Zoloft, at one point the dr at a teaching hospital told me to take Effexor xr 150mg X 7 - 1050mg per day. I don't suggest this. I do have abnormally low blood pressure. In the end, each psychiatrist wants the patient to get well However, liability insurance and the DEA prevent a lot of patients from getting the best outcome. However, with all the soldiers returning with PTSD, there will be an urgent need for therapies that work. I've rambled on but I would love to hear from you. And thanks for these posts
Stacy- thank you! So much for reaching out to me! I am still counting down the days until I get my refill & pdoc says state of MO has stopped all samples of Nuvigil.
Please email me my email address is:
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So we can talk directly to one another. Again THANK YOU FOR REACHING OUT TO ME!
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