provigil label

After getting the run around for months, my insurance company has now denied payment for Provigil. They refuse because using Provigil for MS fatigue is an "off the label" use for the medication. Any advice???

Provigil is being used off-label for many things now. Whether your PCP would prescribe it is up to his confidence level. You could certainly show him this thread and request a trial of it. It is approved for the fatigue of narcolepsy, of "shift-work" fatigue, and of obstructive sleep apnea. It is being used commonly off-label for the fatigue of CFS, MS, Fibromyalgia, and for the mental focusing needed in Adult ADD and probably for many other things. It was the first thing Dr.

Has anyone heard that the insurance companies are starting to approve Provigil for MS? The company must have changed the recommendations for use. I did a prior authorization for a patient today. She needed Provigil for Sleep Apnea. Sleep disorders are what this med has mostly been used for. But this time, where the approved diagnosis' were listed, MS was on the list. It's the first time I have seen this since I have been doing the authorizations.

m experiencing from the RA and FMS with Provigil (for fatigue) and Effexor XR (for pain). What do you all think?

Hypothetically,I understand why people do this, but I'm to much a coward. in the United States, Provigil is a Schedule IV controlled substance, which means it's illegal to import it from a foreign source. Being caught without a rx could be 5 years and 200,000 fine. Just a thought to add to the musings.

Provigil is more expensive and I actually had more side effects with Provigil. Nuvigil is the 2nd generation of Provigil and the manufacturer has lowered the price to get everyone "switched" before the patent on Provigil expires in 2011. For me, the difference between Nuvigil and Provigil was amazing. Nuvigil gave me back my life. Provigil let me leave the house but I had trouble functioning. And since Provigil is "going away" it is tough to even get samples.

t get the provigil/nuvigil approved, since it is considered off label use for MS, you might talk with your physician about other drugs that might help, in particular the drugs prescribed for attention deficit disorder.

s dopaminergic and noradrenergic effects could have an adverse effect on someone using the drug off label but no one can say with any confidence because there just isn't reliable data. Was your brother prescribed the modafinil? If he was getting it from other sources, the composition of the pills would obviously be less certain. Either way, I hope he snaps out of it. Best wishes.

s to be taken at the same time. I kind of remember something on the Wellbutrin label that says it should not be mixed with anything else (not referring to the treatment meds here). I tried Wellbutrin as an AD but could not take it as it made me completely unable to sleep (only got about 2 hrs. per night). Took it for about 12 days before I was told to quit it and it never got better as to insomnia. SLEEP is extremely important while you are on chemo.

) So from all the post above I am sure that you have figured out that the usual Rx of Gabapentin (neurontin) is usually used (off label) for Nerve pain..Also known as Neuropathy. Originally it was used for Seizure disorder. Gabapentin is in a class of medications called anticonvulsants. I too have not heard of this medication used "Off Label" for balance issues. It will be interesting as to how it is going to work though. So please keep us updated on how it works for you.

Hi there. Modafinil or provigil is a central nervous system stimulant and much abused. This can produce euphoria, it can be abused for a high sensation particularly by students as stimulants for staying up all night for exams. There are certain common side effects associated with its use like headache, dizziness, difficulty in falling asleep, drowsiness, nausea, heartburn, confusion and burning, tingling and numbness of skin. There could be certain withdrawal symptoms associated with it.

I still feel pressure in my temples and forhead even though I have stopped taking Provigil. Can you have withdraws from Provigil?

This is my first day on Provigil, taking 200 mg this morning. This is an attempt to replace Adderall 15 to 30 mg per day. Provigil walloped my blood pressure. It dropped by 10 points when I check 12 hours after taking the first dose. I've been lethargic most of today. I finally took an Adderall so I could function.

Is anyone familiar with the drug provigil or monafinil for enery and depression...? It is a drug for narcolepsy....wakes me up but not sure about use during tapering tabs...

Has anyone tried ProVigil? My sleep specialist suggested that I try it for the deep tiredness that I experience, even after getting great help with sleep from my CPAP machine. By the way, my trip to Seattle went very well. Though it is indeed very hilly, the cooler weather and low humidity made it easier to get around than here is muggy Baltimore. The weather seems to have a huge impact on this disease.

Is anyone taking Provigil? Has it helped you? What does it help? Do you have any side effects from it? I'm going to try it, after I get my results back from my next set of MRIs. Does it make the tremors worse? Thank you!

I started taking provigil yesterday and wow I cant believe the energy I scrubbed the shower down washed the cabinets down went food shopping then took dog to dog park for 4 hours then home and dinner usually just one of these activities wipes me out . I am glad that I have energy but I feel jittery my legs feel like they are going hundred miles and hour and I am stuttering badly in the am I think I am trying to talk faster then I can get it out.

I am currently taking provigil for my fatigue. The pharmacy had to order it so I was out for a few days. During those days I have been headache free. It seems that my headache has come back since I started taking it again. It isn't as bad as a normal one but it is enough to be irritating. I am curious as to whether anyone else has had this issue and if so did it go away after a while. It has really helped the fatigue but I would hate to think that the daily headaches are back.

s been an issue with me for more than 10 years, but the last 2 months I was really bad and just being awake for more than 5 hours wore me out. He prescribed Provigil and I've read some of the threads on it and it sounds very promising. My question is, is it something you can take daily indefinitely? Or are you supposed to just take it when you need it (which would be daily for me!) I hope my insurance will cover it because I'm not diagnosed with ms or anything.

I dont know if this is accurate or not, but I thought it should be shared. I just read this in the "Health" Section of Foxnews.com I have heard a lot of really good things about Provigil, although I've never used it. It was recommended to me many times though. Just some food for thought. Seems EVERYTHING comes with its own set of dangers attached.

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