Whats the best?

[Sunnyblack]

Help. Nothing has worked so far. ive been on provigil, and adderall XR. both at the max dosage, still falling asleep in meetings! What else is there for me to try? What the king daddy of CNS so I can stop falling asleep in the middle of presentations. I need help fast, conference next week.

[Velvet Elvis]

You're Narcoleptic?

Somthing ritalin based would probobly be your best bet for now.  Go for a sustained release formulation as the standard ones tend to quit on you pretty abruptly. 

Something like Concerta is probobly what you want as it's less likely to cause side effects than other options.  Since you're shooting for next week, you don't really have time to wait for side effects to shake out should you get them on anything amphetamine based.

[ldo]

I haven't been to a business meeting since starting psych meds, but back when I did attend such horrible things I found a few minutes of vigorous exercise in the morning would make me MUCH less likely to fall asleep in meetings afterwards. Say, at least 10 minutes. 5 might do the trick but I'm not so sure. Riding in to work on my bike was really good for this.

Also, make sure you have some protein with your breakfast and lunch. If you have pancakes and syrup with orange juice and toast you will bonk for sure. Low glycemic index stuff like oatmeal or granola will also be better, if there isn't too much sugar in it. A glass of milk probably isn't enough. There's some Jewish breakfast thing, maybe called lox? Smoked salmon! Delicious and doesn't cause a sugar crash. Maybe eggs work but I hate them.

Maybe these two tricks won't be enough, but I'm sure they'll help some.

I am not narcoleptic, but there's something tremendously soporific about meetings.