Provigil helps to return normal sleep
Provigil is a brand name for Modafinil, which is popular in United States.
This drug is considered to be a waking-promoting agent, which has sympathomimetic agents, the same as such amphetamines as methylphenidate. But Generic Provigil pharmacological profile is a bit different. It is more identical to that of sympathomimetic amines. Its precise mechanism of work is still unknown. It is a schedule C-IV controlled substance.
Criteria for Treatment with Provigil.
If you are diagnosed with SWSD, OSA or narcolepsy you may be prescribed Provigil. The drug usage for sleep apnea must be conducted according to CPAP and estimation of CPAP treatment mono-therapy should be done before the overall therapy. For narcolepsy treatment, it is suggested to have 2 month course of methylphenidate, which was failed or different derivatives of amphetamines with the maximum dose of 60mg per day till they are contraindicated.
It is not good and banned to buy Provigil for people who are younger than 18 years. It is also possible to prescribe the medication for those patients who failed with the standard treatment of fatigue, which included amantadine of 100mg bid and 10-20 mg bid of methylphenidate. The medication will not be approved for concurrent usage with benzodiazepines.
Evaluation of the Case.
Such an estimation of the condition usually requires all the information concerning a patient: his history and various physical examinations. One may also do different tests in a laboratory setting. Usually, in OSA Provigil is given as an additional treatment for the general one. One gets a positive airway pressure (CPAP) which maximally can bring adequate periods of sleeping time. But one should get it before getting Provigil prescription.
If two treatments are used at the same time, it is necessary to monitor periodically CPAP compliance. It is very important to pay attention to any dependence, personal changes or depression, if there are so, while getting the medicine. One should not order Provigil for pediatric patients. Those who have abnormal levels of sleep may not get normal level with the help of the drug. Those who suffer from too much of excessive sleep must be constantly assessed by the doctor in order to avoid different problems with driving and other similar activities.
Provigil Interactions with Other Drugs.
One should be very cautious while getting Provigil for treatment. The drug can interact with various other medications, so there must be special consideration concerning this. Generally, the most attention must be paid when getting tricyclics, cyclosporine and contraceptives simultaneously with Provigil. Dose of 400mg per day is normally tolerated by patients, but there is no concrete evidence that it can bring additional benefits than a dose of 200 mg.
As for psychiatric symptoms they usually include anxiety, hallucinations, suicidal thinking and mania. The doctors must be very attentive while prescribing the medication for people who earlier suffered from depression, psychosis, alcoholism and different substances abuse.
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