Provigil works for me but my insurance won't cover it, since they don't yet accept it for MS
when I mentioned fatigue to my doctor he mentioned amantatine (don't know if this is spelled right), I haven't tried it yet and said I would think about it.
Amantadine is a good alternative. So is Ritalin. Provigil is, too, though like wildcat said, insurance may balk. If you can get your doc to write "for shiftwork" on the prescription, insurance is more likely to pay for it, as that's an accepted use.
Mayo did a study a few years ago putting Amantadine up against Acetyl L-Carnitine, and the Acetyl L-Carnitine compared favorably. According to my MSologist, it gives the mitochondria in our cells a little something more than glucose or sucrose to work with and give us more energy. I don't notice a big difference, but I take it anyway.
I do take 100 mg of Nuvigil at noon on days that I work a PM shift. It doesn't make me any more alert or energetic, but it does help keep me from falling asleep at the wheel on my 1 1/2 hr drive home.
Bottom line - there are various drugs out there to combat fatigue. What works for one may not work for another. Keep trying until you find something that works for you.
My doc prescribed me Provigil, it helped me alot and he said that if that didn't work there was ridilin (spelling) that we could try.
The provigil is awesome but you have to take it early in the morning or else you won't sleep at night.
I have been taking Amantadine for about 6 months now, it helps most days but if I have a very busy morning I always need an afternoon nap.
Is any help available to reduce costs of Nuvigil . I am medicare with Humana supplement and my cost would be in excess of $800. For 30 tablets. I can not afford this or two other medications each would require me to pay between between $600. And $800. I have been trying to find help, going without for the past two months. Any advice would be apreciated