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
Thanks! for all the comments. My insurance requires prior approval.. so we will see if it is approved. I know I can not continue on with my schedule if I don't have some help.
I find myself teaching from my chair that has wheels... agghhh... I am so tired, especially in the afternoon... its like my body just stops.
Thanks
~B
I know that the time of day mattered lots with Amantadine, which is used for the same purpose, but is (I believe) chemically/pharmacologically unrelated. I'm back on it, but only taking one a day, as soon as my feet hit the floor.If I get brave enough to go back to the full dosage, I'll probably begin by taking the second one at or before noon.
Humm I wonder if I took both mine in am if it would work better?
I take one in am and one at lunch time.
Have you tried different times with yours?
I think once I am over this flair it will help me a lot!!! It is helping me get through this now that's for sure!! It can only get better I am hoping! :)
I use modafinil (200mg in the morning) for MS related fatigue and it works wonders for me. I take it as early as I can in the morning and without it I am not sure I would be able to continue to work full time.
When using it I feel more alert, sharper and definitely less fatigued. However the one thing I have noticed is that my appetite completely diminishes.
I had this discussion with a friend of mine recently who also tried it for her MS: She found it to be of no benefit whatsoever and I was shocked.
Again this just goes to show - that not only is MS and its symptoms different for everyone but the ACTUAL treatment for MS and its symptoms can behave differently for everyone too!
lynndcoco
Modafinil is also known as alertec and provigil if you want to search this names as well.