I LOVE Provigil. I have fibromyalgia, and while most people think of pain, my worst symptoms were cognitive - fatigue, and severe problems with memory and "brain fog." Absent mindedness wasn't the half of it, it was like my brain wasn't working anymore. It was really why I had to stop working. Pain you can work through to a certain extent, but there's not much you can do when your brain stops working.
I went to a neurologist who tested me for narcolepsy, which I don't have thank goodness, but his advice really helped a lot. He prescribed 1000 mg of folic acid (a B vitamin) daily and gave me Provigil to use as needed.
The folic acid worked wonders by itself (so you might ask your doctor if it's ok to try) and it's really cheap (under $3 a bottle at Walmart). But I use the Provigil when the fatigue is bad, or when I am going to have an unusually active day. The neurologist says he and many other doctors take it when they need to stay awake for long periods, such as for driving on long trips, because of the low side-effect profile.
I like it because it doesn't feel like I'm on a drug. It's smoother than even caffeine, so there isn't any hyperness or jitteriness. It just feels like being naturally awake, alert, and energetic.
It can keep you awake though, so you may have to see how it effects you. The doctor said I could take a morning and an afternoon dose, however I learned that I can't take it after 1pm or I cannot fall asleep at night. This apparently isn't true for everyone, though.
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