Nuvigil Doses (Page 2)
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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

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Nuvigil is an absolute GOD-SEND for me!!! I have been on anti-depressants since 1990 - super strong family history of depression, alcoholism, etc... I was also dx'd in 1985 with MS, age 25. Back in those dinosaur days for MS...there were no MS meds. I promptly decided to take those 2 words, "multiple sclerosis" OUT OF MY VOCABULARY & lived in denial for the next 25 years...until things got SO BAD that I had no choice but to go to an MS neurologist because my issues were UNDENIABLY OBVIOUS! I was immediately diagnosed with secondary progressive MS. ANYWAY - back to Nuvigil: I beat myself up for years & years for being such a tired & lazy woman. Over the years - my genius psychiatrist and I have experimented with just about every SSRI there is. So I now take Zoloft 300mg/day & Lamictal 100mg/day for depression, Synthroid .50mcg/day (had borderline low thyroid causing more depression); Gilenya (my MS med); Klonopin 1mg PRN (up to 4 daily - which I never have to take 4) and finally NUVIGIL!!! I take 250 mg when I get up in the a.m., and 250mg. in the afternoon for energy and focus.

I have also taken Adderall - which I ramped up to 60mg/day, anything less was not working...but found that it was making me EXTREMELY ANXIOUS w/heart palpitations at times. I cut out all caffeine hoping it would help - but did not.

NUVIGIL IS THE ONLY THING THAT GETS ME UP & FUNCTIONING! Without it, I have no energy, no motivation & often miss out on "fun" things because I feel so lethargic! YOU ARE NOT ALONE!!! Nuvigil targets the dopamine receptors in our brains - so if you're dopamine deficient, this is why it works so well! :)

Every one is different with different brain chemistries. DO NOT FEEL GUILTY ABOUT NEEDING THIS MEDICATION! If your doc "cuts you off" - YOU NEED TO CUT HIM OFF! There ARE wonderful psychiatrists out there... If you live in the Dallas area - I could recommend mine. DON'T LOSE HOPE! I hope to hear from you JB0817. :)

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I also went through my Dr. telling him I felt the same way...he told me to break another in half and take it around 2:00 worked great until time to fill next rx..got turned down for 11/2 pills a day...played roulette with insurance company.they would usually fill it on the 25th day..got freed samples from the doctor...on my days off I would only take 1 or a half if I was just laying around the house. there are ways around it..just be good in math and keep bothering the Dr.'s office for samples...good luck

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I have found myself with the same dilemma as the person needing more Nuvigil by 2 pm!
I take it for type a depression (always wanting to sleep during daytime hours, although I sleep well at night).
And this has been a fierce debate between my husband & I because I DO often take more than one a day, but have a history of drug addiction. Was sexually abused as a child & never got the proper help. Finally got the diagnosis of PTSD, & am on MAOI. But if I don't have NUVIGIL, I don't want to do anything! I'm so hard on myself that I'm just chasing that old high again, like I'm back in the addiction again. But the committee in my BRAIN tells me I need another one & it won't SHUT UP & I feel (seriously) like I can't BREATHE until I take another half of one! Every month I PROMISE myself that I'm going to take them CORRECTLY, but I fail every time! This in return, crushes my little self-esteem, because I think I'm that same POS I used to be!
I abused opiates mostly, but by the end of my addiction (2 yrs ago), I would take anything. But, now I've learned having PTSD, I was just self-medicating b/c I didn't have the tools or the support to work through my sever depression and PTSD symptoms.
Oh, and, this has gotten to the point that I'm having my husband distribute them to me, so I can be accountable, but I'm finding myself counting down the hours until he gets home so I can guilt-trip him into giving me more! Lastly, I'm SCARED to talk to my psychiatrist about this problem in FEAR that they'll just 'cut me off'.
So, now every time I go there, I'm not being completely honest, so I feel I'm RUINING my ONLY OPPORTUNITY to HEAL & get the help I need!
If SOMEONE out there can help, PLEASE help me out!

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i have narcolepsy and i am also taking dexedrine. i have been ever since 1993. it comes in a extended release form and any pharmacy can order that in for you. but when you go to the doctor, they have to write sr on the script to get that kind. hope this helps. niki

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Glad you found another option that works for you, lindamine, because from the information I can find, it seems that 250mgs of the Nuvigil is the maximum recommended daily dose.

https:/­/­rxchat.com/­wiki/­Nuvigil/­

https:/­/­rxchat.com/­wiki/­Dexedrine/­

Xena, Dexedrine is a similar medication, as you can see from the link I've provided above, it contains the active ingredient Dextroamphetamine.

Are there any other questions or comments?

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I also have struggled with bipolar depression for years until recently trying Nuvigil. It cut through the "fog" as I call the it when you're extremely depressed and it seems like your brain is half asleep. I was on 2 antidepressants as well as a medication for anxiety until trying Nuvigil. I felt tired and unmotivated 9 out of 10 days and only functioned by sheer willpower. I have read about some people that take up to 3 Nuvigil a day however that was a person with Narcolepsy. Did you have any trouble with A-price of Nuvigil and insurance authorization B. Anxiety/Mania as they say it can cause or worsen manic episodes. Is the Dexedrine for the depression, energy, adhd, or none of the above? I am having similar issues with Nuvigil. One day it works great the next I'm dragging 6 hrs later. Also I didn't want to take it with my adhd medication but am now having a lot of trouble with getting distracted and talking too much.

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update.....but would really love to hear other's experiences with nuvigil STILL.......

I mentioned I could not get dexedrine normal release tabs anywhere.....that has not changed.....but pdoc and I decided to try Dexedrine spansules-extended release....so I am taking a 10mg XR tablet oF the Dex....and now only need 125 mg of nuvigil at 10a.m.(INSTEAD OF 250 MGS-alone)...that is 1/2 of what I was taking.....I think this is good news, as these type of meds build up tolerance.

I do plan on "holiday time" from one or the other along my journeys for this reason. (tolerance/addiction)
All my worries....basically due to Dexedrine not being available any more- now at rest. They messed up on the production and shipping to different parts of the country (so says the FDA)...so this forced me on to a much stronger med ....which, I have come to find out, is a delightful replacement/adddition to my med regime.......
Pdoc is very happy with my results.....as am I.
I have been treatment resistant bipolar for two years....all the psych meds bring on extreme fatigue, and the Dex and Nuvigil are used on me as both an energy helper and also help with my severe depression.....
I am finally on the road to recovery, it feels....

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