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Nuvigl vs Provigil?


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I am trying provigil again. I know I know. I have emailed my sleep dr's nurse. But no reply yet. I also asked if I could try nuvigil as I've heard it has less side effects than provigil. Although provigil is much less expensive because it is generic. Maybe I'll try provigil first again before trying nuvigil.

I think it will be ok this time because I'm on seroquel this go-around. That should keep a cap on my mood.

Anyway, my question is....Anyone tried nuvigil or provigil and what is the difference between them? Is nuvigil just gimmicky because it's new and shiny? This scenario reminds me of lexapro vs celexa. Maybe I'm way off base though.

Maybe I will call sleep dr's nurse now. I will update.

ETA: Also, is nuvigil going generic anytime soon? I can't seem to find any info about it.

And lucky that I called because the nurse is out this week but I talked to another staff member and she is going to talk to the dr for me.

Edited by Wonderful.Cheese
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hey cheese: I took Nuvigil after my brother died. I was sleeping ALL THE TIME.  It helped, definitely.

When I brought the script to the pharmacy and asked the lady what the heck is this nuvigil stuff, her eyes widened and she said it was just like "black beauty". So yeah, it works. I find it so speedy I never take it anymore ever except on the very rare occasion when absolutely needed and I have had enough sleep overall. Otherwise it can really do a number on my body. So invigorating to my mind it takes me days to get over. I basically get manic I guess.

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I just googled nuvigil and it said it will go generic in June '16.

I tried provigil years ago, and I didn't find it as activating as something like adderall, but it did help me stay awake without causing me to go manic.

However, everytime I did go manic, my various pdocs would always take me off it, even though I knew it wasn't causing it, and eventually it just got to the point where I couldn't get anybody to prescribe it.

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Thanks so much for the info guys!

Water, sorry it made you manic! I had that experience with ritalin but not provigil. So I hope nuvigil will be better. I just got rage-y on provigil. But my psych meds were not sorted well at all for that time. Ugh.

Sorry to hear that about them thinking that the cause was provigil for the mania you had, dilemma. I can relate. Something similar happened to me. But I think and hope I will get it prescribed. I took ritalin and I don't think I would touch that stuff again. It was too activating. Didn't cause the mania, but it certainly didn't help either.

And good to know it will be generic in June of '16. That's not so bad then. Thanks for finding that for me.

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My pdoc brought up Provigil yesterday, as I have energy problems. Did you find it helped give you a boost, something beyond merely keeping you awake? 

This is exactly what Nuvigil did for me - gave me a boost. 

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My pdoc brought up Provigil yesterday, as I have energy problems. Did you find it helped give you a boost, something beyond merely keeping you awake? 

This is exactly what Nuvigil did for me - gave me a boost. 

That's what I need. I don't know if my insurance will cover it, though.

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  • 9 months later...
2 hours ago, taramisue said:

Flash-

Did you end up getting on either? Did it help?

I think this is what I need. I am going to ask my pdoc on Saturday.

No, because Provigil reacts with either Abilify or doxepin. I forget which. I tried Adderall instead, but it didn't help. I don't think Nuvigil was mentioned. Maybe it also causes problems with my other drugs, or maybe my pdoc didn't think it would help. 

Edited by Flash
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Provigil never interacted in any way noticeable to me and I am on a high dose of abilify.

I asked my pdoc about the provigil vs nuvigil, and he said nuvigil was more long-acting than the provigil is.  Not by much, but when compared to provigil, it was longer acting.

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On March 23, 2016 at 7:12 PM, taramisue said:

Flash-

Did you end up getting on either? Did it help?

I think this is what I need. I am going to ask my pdoc on Saturday.

How did your appointment go? Did your pdoc let you try either provigil or nuvigil?

Have you had a sleep study or see a sleep specialist? My sleep doc is the one who prescribes the provigil for me. I've had 3 sleep studies (2 nighttime and 1 daytime MSLT). I have very mild sleep apnea and narcolepsy. I do use a cpap machine but it doesn't make any difference for me, unfortunately.

I ended up doing ok on the provigil. I take 200 mg AM and 100 mg around noon nowadays. I used to only take it AM but kept randomly dozing off in the afternoon, so sleep doc added an afternoon dose. 

On March 23, 2016 at 0:25 AM, melissaw72 said:

Provigil never interacted in any way noticeable to me and I am on a high dose of abilify.

I asked my pdoc about the provigil vs nuvigil, and he said nuvigil was more long-acting than the provigil is.  Not by much, but when compared to provigil, it was longer acting.

My sleep doc also said that nuvigil lasts longer than provigil. But since provigil is generic it's much cheaper for me and I take an afternoon dose now of the provigil. 

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Hey Cheese-

My appointment is this Saturday.

I can't wait to see him. We are going to go over my blood work I got done this week. I think I am anemic. My red blood count was low.

I also want to see if he can give me a referral for a sleep study. I have had problems sleeping too much since I was a child, so maybe it is more than my depression?

And I am hoping to try a new med that will help with my energy. He thought Pristiq would be good for me, but I slept for 4 days straight.

Although now, I think that could of been from quitting the Seroquel and not enough Pristiq in my system. I am back on that now and feeling a little better.

Even though he said it isn't for depression, it is definitely helping me. I was off of it for a few days and I was crying all day and completely hopeless. It's obvious I can't go without meds.

I don't understand why I was given a low dose of Seroquel in the first place. 

Thanks for checking in. I will let you know how it goes!

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13 hours ago, taramisue said:

I don't understand why I was given a low dose of Seroquel in the first place. 

 

From what I know, in most cases a lower dose helps more with sleep.  At a high level it might not.

If you google, "seroquel low dose sleep" it comes up with articles.

 

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On March 24, 2016 at 3:59 PM, taramisue said:

Hey Cheese-

My appointment is this Saturday.

I can't wait to see him. We are going to go over my blood work I got done this week. I think I am anemic. My red blood count was low.

I also want to see if he can give me a referral for a sleep study. I have had problems sleeping too much since I was a child, so maybe it is more than my depression?

And I am hoping to try a new med that will help with my energy. He thought Pristiq would be good for me, but I slept for 4 days straight.

Although now, I think that could of been from quitting the Seroquel and not enough Pristiq in my system. I am back on that now and feeling a little better.

Even though he said it isn't for depression, it is definitely helping me. I was off of it for a few days and I was crying all day and completely hopeless. It's obvious I can't go without meds.

I don't understand why I was given a low dose of Seroquel in the first place. 

Thanks for checking in. I will let you know how it goes!

Oh I misread. Sorry about that! Good luck with your appointment! 

I've been anemic too before. No fun. I hope you can get it all figured out! That's a lot going on!

I think a sleep study is a good starting point as well. Hope you get a referral! 

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So I had my pdoc appointment. 

We went over my blood work.

I am pre-diabetic. He said my number was "alarming" and I am very close to being diabetic.

I always thought I would get diabetes eventually. I had pcos and gestational diabetes. My dad had diabetes and it runs heavily in his family.

However, I am "only" 35 years old and I am thin (5'2" and 115 pounds). I didn't think it would concern me yet. He said to focus more on getting exercise rather than my diet. I know what I need to do. I saw a dietician and took a class that involved exercising when I found out I had pcos. 

My pdoc wanted me to try Pristiq again. A quick background...I tried it a couple weeks ago and ended up sleeping for 4 days straight and my depression got a lot worse so I stopped taking it. But I think it had more to do with quitting the Seroquel rather than starting the Pristiq. I am on my Seroquil again.

I told him I am more concerned with my fatigue. It has been affecting my work and I feel like it drives my depression. He wanted me to start the Pristiq and then start Nuvigil in a couple of weeks. But I asked if I could try the Nuvigil first and he agreed. 

I started taking it yesterday. I am to take 75 mg for 4 days then bump up to 150 mg. So far, I haven't really noticed much, other than a bad constant headache. I am going to push through it though. I really want this to work. I think I will be able to judge it better when I go back to work tomorrow.

I feel like my pdoc isn't even concerned with how I am feeling. I start to tell him how I feel and he kind of brushes it off. Idk if that is how a pdoc is supposed to act. The appointments only last about 10 minutes. 

I also made an appointment with a psychologist there. I am really excited to see her. It will be an hour session. I really need someone to talk to work out all these issues in my head. 

I still can't cope with my divorce. It has been almost 3 years and I was the one who pursued it. We have a now 5 year old together and I still have a lot of guilt over breaking up the family. Even though he was the one who couldn't keep a job, would rather party with his friends and started to get abusive towards the end.

I explain it like this for anyone who watches The Walking Dead. My divorce was like the zombie apocalypse. My life will never be the same and I am just trying to survive.

Sorry...I got a little off topic. I do have a question for anyone who takes Nuvigil. 

Is it supposed to be fast acting or does it need to build up in my system? 

Also, I am having killer headaches. Could it be from the Nuvigil? Has anyone gotten headaches from it and did they go away?

Thanks again to all my CB friends :)

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