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You just have to get over the curve of about a week of regular dosage then you can sleep at a normal hour. But it should be the first thing you do in the morning.

Modafinil was The Answer for me after trying everything else. I don't know why psychiatrists always insist on a battery of other drugs first, which can cause everything from aggression to obvious personality shifts to mania to damage to the dopaminergic axons of the brain.



1. There is a strong slant against off-label uses of drugs in general

2. Insurance companies require extra paperwork for anything other than the 2 or 3 most common drugs. I ended up on Dexmethylphenidate after trying a few others; I rate it as "okay" but still so much better than unmedicated that I paid a few hundred dollars out-of-pocket for it while I was convincing the insurance company to approve it. I ended up on ER, which doesn't work as well because they wouldn't approve 2x 10mg of non ER but would approve 1x 20mg of the ER. sigh




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