Switching from Nuvigil to Adderall, need to know what to expect?
- 26 Nov 2011 by LaurieShay
- adderall, nuvigil, depression, bipolar disorder, narcolepsy, attention deficit hyperactivity disorder (adhd), drowsiness, chronic fatigue syndrome (cfs), insurance
My insurance company has decided after paying for the Nuvigil for the past year that they will no longer cover it. I can't afford to pay out of pocket. It is quite expensive at $17.00 a pill and I take two a day. Anyway, the doctor appealed the insurance company's decision twice , but to no avail. So we are going to try Adderall for my problem with hypersomnia. I'm very nervous about switching to an amphetamine. We tried to get the insurance to switch me to Provigil, but that is still pending. In the meantime, I start 30mgs Adderall ER tomorrow and am wondering what to expect.
Thank you DC friends and family. Your input is greatly appreciated.
13 Dec 2011
Mine too has denied coverage because I don't fit the official diagnoses. Since both Nuvigil and Provigil have been denied my next option is also Adderall. I took Adderall for over a year back when I was taking Depakote and other meds that really made me numb. The weight loss was great. :) But I found that even the Extended Release wore off noticably and had a "drop" (not quite as bad as a crash). So every day I had a great productive, alert, focused span of time but I could FEEL the minute it wore off. It seemed silly to have one more "drop" in my rollercoaster caused by a med. I only need the Nuvigil for the winter months and so I'm most upset about the denial. I too will probably have to use the Adderall instead.
Just be smart with the medication. Don't ever take more than prescribed (the temptation is there when you get exhausted or really depressed). I used to give them to my husband after I fill my pill case each week; just to avoid that potential for addiction.
If you've never tried the Adderall. I'd say its worth a try. I just, personally, think the Nuvigul gives a more constant, less likely to induce mania type of sustained alertness. The Adderall works but feels a bit more extreme.
12 Aug 2012
Wow, well I am narcoleptic so I may not be the best to ask but nuvigil was awful for me it made me tired even the pharmacist said that for narcolepsy it didn't work. Adderall is an amphetamine you know it is speed. Everyones symptoms are different and all tolerate it differently. My suggestion would be to make sure and take on a day that you aren't working or doing anything super important in case you have an adverse reaction. But really you just have to try and see, I would give it a week or so to judge bc some reactions will go away. If you dont have a sleep aid I would suggest asking youre dr for one if it makes you not tired. I take clonidine, its actually a blood pressure med bc it raises my bp and it also helps me sleep. Hope it works ok, but it also is abused so keep it under lock. And keep an eye on yourself as well, they dont warn people against addiction to it for no reason, it can be addicting. Doesnt make anyone a bad person, its very common just be aware.
30 Nov 2011
If you are in MD, I don't know about everywhere else, but all pharmacies are out of adderall until January. I have tried many ADHD meds and I am prescribed 30mg pills 2x daily and I'm on sub too. Adderall works best for me! Good luck
28 Nov 2011
I take Adderall 30mg twice a day for ADHD. The first day I was a little hyper focused, but that quickly went away. The only real problems I had when getting used to it were dry mouth, insomnia, and decreased appetite. The dry mouth got better after about a week, but it helps to drink more water too. The insomnia happened for the first three days, but I only get that now if I take it after 12 since I go to bed at 8pm. The decreased appetite wasn't a problem in my opinion, but I forgot to eat regularly the first few days. I have hypoglycemia so I got nasty migraines, and nausea from that. I set reminders for the first two weeks after that, and now I have a normal appetite. My thyroid disease also depresses my appetite later in the day so I have a strict eating schedule to ensure I don't emotional eat or miss meals.
I hope it works out well for you. I have an addictive personality for sugar and caffeine so I understand where you're coming from. If I don't take my medicine I only notice because I'm not as focused so things take longer, and I get stressed out about it and want to pig out on candy and sodas.
26 Nov 2011
I am on the suboxene program and i heard that adderal is like the cheap mans cocaine-thats what some girl was saying.she said she used to buy adderal off the street and loves them.i have never took them but only know what that girl said.
26 Nov 2011
Hey Laurie, Best I can do is read up and see whats this and whats that in as much your question.and not just from DC, but other sites that I use for info. Try not and worry, (I know you've heard that before). and easier said than done. I'll post again, when I have something concrete, a more helpfull answer. Goodnight, take care friend,
3 Dec 2011
If you feel that extended release leaves you in a haze or disconnected ask to try Instant release (if it wont interfere with other medications or condiitons) I absolutely hated how extended release made me feel and it sure didnt help when I had bouts of hypersomnia, but the instant did. Also if you were to choose instant stay away from corepharma generic version if possible and ask for barr or another as corepharma is one that will give you a negative view on the medication. Something about it makes it drastically different in side effectss and feeling than other drugs. I take my adderall IR when my first alarm goes off so that by the time my actual alarm goes off (usually 30 min to an hr depending on how early I needed to get up) it has kicked in so I can get up, function, and meet the day much better.
27 Nov 2011
Hello Laurie, I hope all goes well for you tommororw, two weeks ago my doctor put me on 20mgs of Vyvanse, he told me It would help me through the busy parts of my day, but all I wanted to do is sleep, and I didn't feel like eating at all. I read up on It and alot of people said it worked wonders for them. It might be cheaper for your insurence company if adderalll and Provigil doesn't help. Let me know how things go. Best of luck. cdn160
27 Nov 2011
Laurie, I too took Nuvigil for 1 month only. I had a voucher for a 30 day free trial. Loved it. My pain dr. put me on it for extreme daytime drowsiness due to Fibromyalgia and the medications I have to take for it, and pain medicine for my chronic back and neck conditions. Once I was out, found out insurance didn't cover it, did the doctor deal, didn't work. I have always taken medication for ADHD, including Adderall. It's a little different from Nuvigil... due to the wearing off sooner than Nuvigil for me. This is just my opinion, but I take an ADHD medication called Vyvance. It has an all day long affect, which makes me like it more than Adderral. I had to take Adderall 3 x a day. One tablet in the morning with Vyvance. I am on the highest dose (70mg). I don't reccommend starting out that high, and your doctor probably wouldn't, but if you don't like the Adderall... ask your doctor about Vyvance. I like it as well as Nuvigil.
Again..this is just my opinion, but it didn't make me as jittery as Adderall did. I wish you the best of luck. I really do. And you may love the Adderall. I will be praying for ya!! Your friend,
27 Nov 2011
Everyone responds differently. The worst is feeling jittery and teeth grinding. But if he starts you slowly on the short acting pill and you feel uncomfortable you can try something else like Vyvance, Dexedrine, Concerta etc. People who use stimulants for legitimate purposes usually don't get "hooked" we're trying to feel normal not high.
Search for questions
Still looking for answers? Try searching for what you seek or ask your own question.
The fatigue from my MS has kept me in bed for almost 3 months now my neurologist started me on Nuvigil (free 7 day supply) which is working ...
2 answers • 3 Sep 2010
Hello! I'm 29 years old and have been taking Provigil for 3 months for hypersomnolence. I've noticed lately that I've been losing a ...
3 answers • 10 Jan 2011
My husband went to his regular doctor a few days ago and comlained of problems focusing. He was given the drug, Nuvigil, to help combat sleepiness ...
1 answer • 28 May 2011
Because I don't have the diagnosis for sleep apnea, shift-work disorder or narcolepsy, my insurance won't cover Nuvigil. Like others on ...
5 answers • 13 Dec 2011