Nuvigil Is Affecting My Concentration

I've been on Nuvigil for a year. Worked my way up to 250mg 6 months ago. Like many, at first, 12 months ago, I was speeding, deep cleaned the house, yard work, etc. The effects leveled and then returned to daytime sleepiness even if I'm mentally engaged, which used to get me thru.

But I've noticed over the last 6 months, even when alert, I've had trouble concentrating at work. I'll reread an email draft 10 times and find fatal flaws. Texting is very hard. I'll leave out "not" for example. Small display/monitor.

Anyone else feel dumbed-down?

Recently my sleep disorder doc wrote Rx for 2, 250m. Insurance declined and I got it filled in Canada, with his knowledge. Still struggling with timing. Waiting till noon for 2nd dose doesn't work. I'm trying 350mg in morning and 150mg at noon today. We'll see.

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Hello, Earl! How are you? I'm sorry about the problems that you're having.

However, some of them may be related to taking such a high dose. It has been known to cause problems in high doses, including memory issues, cognitive impairment, depression and heart palpitations, with no proven benefit to raising them this high, as listed by the FDA.


Have you tried any other medications to see if they work better for you?

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No. I've not tried other meds, yet. It is a consideration. Before we can move to them my sleep doc wants to run the full narcolepsy evaluation on me which includes being off Nuvigil and anti-anxiety meds for a minimum of 2 weeks, and I can't do that and work in an office. I would sleep at work for 2 weeks. My other specialist agrees we should wait. Thx for your response.

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