I have started on the 150mg, but in the afternoons I find myself crashing and sleepy. What is recommended to counter this? Can you take an adderall later in the day? Or a higher dose earlier? I have adhd, inattentive, and previously was on 30mg a day of adderall, before switching regimes to try nuvigil as a substitute. I feel invincible in the morning, with great ideas - but pooched out at lunch or before.
Have you tried Modanifil (Provigil) yet? It is shorter-acting than Nuvigil, and this allows for more flexibility with its dosing schedule. Provigil is nearly the same medication as Nuvigil but you can take it more than once a day. My first thought when I read your question was 'Provigil' for its flexibility... just a suggestion, but you can always ask your doc about it!
I was prescribed armodafinil for ADD without hyperactivity and this is my first med for ADD. And I have run into the same problem. Armodafinil has a 17-21 hours half life which results in steady state in 6-7 days which means that amount of armod in your body roughly stays the same. The deal with armod is that is only effective when its concentration in blood plasma is changing. so it basically becomes ineffective when you continuously take it for a week. I discussed this with my psych and we came with a cycling plan of taking 100mg for 1 week then switching to 150 mg then taking a week off and then starting the cycle again. This seems to work better than taking the same amount for a long duration of time. By the way just as a side comment I dont think armod is much useful for inattentiveness.
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