I take 200mg of modafinil first thing in the morning when I get up. I can take another 1 or 2 tablets if I need them, but my neuro strongly suggests that I do so before noon so it doesn't interrupt my sleep pattern. The thing my PCP really likes abut modafinil is it is NOT habit forming and you don't have to titrate off of them if you decide to stop. So, sometimes on the weekend I won't take any at all, just to see how I do.
I definitely know I have not taken it by mid-afternoon because the drowsiness sets in big time and I long for a nap.
My insurance initially denied provigil, but my neurologist anticipated that and was able to write the justification for it and quickly (one day later) got that reversed. The grounds for my taking it was for my sleep apnea and not the MS. Modafinil remains an off-label use for MS, but with the advent of the generic form, it seems to be easier to get approved. I hope that will be the case for you.
I hope you get the chance to try it and see if it makes a difference for you.
~Laura
I as well was denied alertec and they chenaged to Modafinil bc it is cheaper and needs to be tried first (the are the same.. Just cheaper)
My neuro still had to send in authorization papers to have coverage approved. It was no problem for ms related fatigue.
I did try amantadine first which did not help so that could have been helpful in having the Modafinil covered.
Hope it goes though for you!! It is great for me!! :)
It was approved today! I asked the other day how much it was and it was over $800!!!! I thought they would say 20 or so. That's crazy! I am thankful to try it. I am tired!
Thanks! They just approved it today.
I'm glad to hear that is done and now you can see if it works for you. It does for most people, but not everyone!
Thanks for posting this thread. Fairly newly dx'd and am just beginning to feel fatigue. I was blaming my tiredness on having a new baby but sadly now, I know it is not the case.
I hope all is well with all of you, you guys are always in my thoughts and not far from my heart.
Lizzie