MS, 22 years, Provigil / Nuvigil just not effective > 2 hrs, what is next ? Adderall ? I shut down around 1-2 PM, having an effect on my work quality, and this NYC heat is not helping. It has never been this bad. Would a next step med be Adderall, Ritilan, etc. Should I be afraid to take due to addiction issues with those meds ? I also take pain meds for MS pain (Opana / Norco / Lyrica), which are narcotic based (2 of them), I do not have any addiction issues at all, never abuse my meds, take minimum dose no matter the pain level, just worried about being dependent on another controlled substance that I cannot just stop taking. With Nuvigil I do not take on weekends, as I can rest up more frequently, can I do the same with Adderall ? just stop taking for a day or two without the worry of W/Ds ?