Mombu the Medicine Forum sponsored links

Go Back   Mombu the Medicine Forum > Medicine > Provigil - what kind of doctor do I need to find?
User Name
Password
REGISTER NOW! Mark Forums Read

sponsored links


Reply
 
1 19th September 23:33
jan
External User
 
Posts: 1
Default Provigil - what kind of doctor do I need to find?


For the last ten years, actually for as long as I can remember, I have
been sleepy all the time during the days but I can't work a third
shift job because I need to be able to work when most places of
business, especially libraries, are open. I read about Provigil on the
Internet and it sounds like an ideal remedy but when I mentioned it to
one of the doctors at my HMO, an ethnic family practice doctor with
probably little experience in sleep related disorders, she said she
had never heard of Provigil and would not prescribe something she
knows little about. Is that ignorance or what? An intelligent caring
doctor would look it up on Medline, check current review literature,
then decide if a patient's suggestion is a valid one.

Okay. I think I made it clear my HMO doctor is no good when it comes
to treating a specialty disorder so I thought I'd check the
newsgroups. What kind of doctor do you think would be most likely to
recommend Provigil and what do I say to be convincing. I am sure that
saying coffee and caffeine beverages irritate my stomach would sound
kind of lame (although true) so what else can I say to make a point?

Oh, and I posted to this group (alt.support.depression.manic) because
when I searched the newsgroups for Provigil this was the first group
where I got a hit. I cross-posted to sci.med, and sci.med.pharmacy
also because those are the first NGs I would have thought of right off
the top of my head.

Thanks.

Jan
  Reply With Quote


  sponsored links


2 19th September 23:33
salmon egg
External User
 
Posts: 1
Default Provigil - what kind of doctor do I need to find?


On 3/2/07 8:50 AM, in article
1172854224.491901.180760@h3g2000cwc.googlegroups.c om, "Jan"

I have been prescribed modafinil (Provigil) by a psychiatrist. I personally
did not find it superior to caffeine in any way. It costs at least an order
of magnitude more. There may be no significance, but doses for modafinil and
caffeine seem to be pretty much the same, 100 to 200mg.

There is a significant probability that you have an underlying condition. In
my case, I was also sleepy all the time and had difficulty concentrating.
After much pestering, my primary care physician order MRI of my head. It
disclosed normal pressure hydrocephalus which contributed to poor gait and
poor concentration. That problem was relieved with shunt surgery.

The sleepiness showed up again. Doctors did not seem to take me seriously
when I complained about orthostatic hypotension symptoms. After searching
through the internet, I was able to see a neurologist who did take me
seriously. She called the problem functional dysautonomia. Unfortunately, my
impression is that minor things can can be done for relief of the problem.

I am not suggesting that your problems are the same as mine. My point is to
be persistent in a quest for help. Find physicians working on problems
similar to yours. No matter how much professional medical help you need, you
are your own best advocate.

This gets me to my peeve about Medicare. Medicare does not pay physicians
enough for the use of their brains. They make income by doing things
(procedures) to you. AFIK there is no legal way for me to supplement
payments to physicians beyond Medicare payments. Instead, I keep on going
back short visits that do not get to the root of my problems. I do not think
this charade is cost or medically effective.

Bill
-- Fermez le Bush--about two years to go.
  Reply With Quote


  sponsored links


3 19th September 23:33
on the road to damascus
External User
 
Posts: 1
Default Provigil - what kind of doctor do I need to find?


Interesting. The Air Force has adopted Provigil for pilots on long
missions in preference to meth, probably because it has less side
effects like unwanted aggression leading to poor judgment.
  Reply With Quote
4 19th September 23:33
jan
External User
 
Posts: 1
Default Provigil - what kind of doctor do I need to find?


Yes, I read about it's use by the military. Unfortunately I'm not a
vet so that route isn't available to me. It's a shame the government
is so down on medicines that promote alertness. I often think, "if I
were the monarch of the land," but the truth is I'd probably **** at
it because the majority of people don't think like me and the result
of my ordinances would probably be total societal disorder. It's
people like me whom in 1965 were thinking we'd all be riding in
hovercrafts by the year 2000. And the reality of it is when I go to
certain parts of town in the year 2007 it still looks like 1920. So
where are all the smart drugs OMNI magazine reported in 1980 that by
the year 2000 we'd all be able to control our psyche round the clock
with any number of exotic designer drugs? Truth be known the
government would probably suppress them even if they existed.

Jan (grumpy old sourpuss suffering from the probable delusion that
things can and should be different)
  Reply With Quote
5 19th September 23:33
rep
External User
 
Posts: 1
Default Provigil - what kind of doctor do I need to find?


You need to be seen by an ENT or other doctor with a specialty in sleep
disorders. You may have sleep apnea, a very common sleep disorder, or
another problem. No doctor in his/her right mind will prescribe Provigil
without testing to determine what is causing the problem and if it is
the appropriate drug to treat it (or if drugs are needed at all).

--
"Did Father shoot him? I will eat Grandfather for dinner."
- Helen Keller, on learning of the death of her grandfather

email: aripee at inanna . com
  Reply With Quote
6 19th September 23:33
on the road to damascus
External User
 
Posts: 1
Default Provigil - what kind of doctor do I need to find?


Be glad you're not a vet.

Try calling some local pharmacies and asking them what doctors are
prescribing Provigil. That's not exactly top secret information
although the pharmacist may think it a strange request so you might
have to call around. Doctors tend to have favorite medicines that they
prescribe so it's no use going to one who isn't known to prescribe
what you want. If you've done your research you already know what
symptoms to complain of...lack of energy, difficulty making decisions,
apathy, etc...

I've already got my doctor picked out, I just got to get off my butt
and make an appointment...public mental health doctors don't like
prescribing stuff like that.
  Reply With Quote
7 19th September 23:33
on the road to damascus
External User
 
Posts: 1
Default Provigil - what kind of doctor do I need to find?


Show me a psychiatrist in his/her right mind.
  Reply With Quote
8 19th September 23:33
salmon egg
External User
 
Posts: 1
Default Provigil - what kind of doctor do I need to find?


Even after reading the drug inserts, I do not understand what the big deal
is about Provigil. I would like to know why it is superior to caffeine. Why
are some physicians loathe to describe it. Other than it is an expensive and
scheduled drug, what is the big deal?

Bill
-- Fermez le Bush--about two years to go.
  Reply With Quote
9 19th September 23:33
charlie perrin
External User
 
Posts: 1
Default Provigil - what kind of doctor do I need to find?


Well, it's amphetamine-like.


They tend prescribe what they know and they feel qualified to prescribe.

You've figured out the two bugaboos of Provigil.
  Reply With Quote
10 19th September 23:34
john smith ®
External User
 
Posts: 1
Default Provigil - what kind of doctor do I need to find?


Just another stimulant. You named the 2 main reasons physicians don't want
to use it. The 3rd reason is all the dopers that pester them day and night
to get it because they saw an add on TV or the internet and think it will
"help" them between meth runs.

--
"I'm quite positive [former White House associate counsel Vince] Foster was
murdered," Sarah McClendon 1995 appearance on Diane Rehm's syndicated radio
show.


----== Posted via Newsfeeds.Com - Unlimited-Unrestricted-Secure Usenet News==----
http://www.newsfeeds.com The #1 Newsgroup Service in the World! 120,000+ Newsgroups
----= East and West-Coast Server Farms - Total Privacy via Encryption =----
  Reply With Quote
Reply


Thread Tools
Display Modes




Copyright © 2006 SmartyDevil.com - Dies Mies Jeschet Boenedoesef Douvema Enitemaus -
666