Can you compare and contrast them for me? I want to try Nuvigil, but I'd like to hear how it stacks up against Provigil before I ask for it.
Has Anyone Taken Both Provigil and Nuvigil?
Question posted by Thor283 on 24 Sep 2011
Last updated on 21 April 2025 (4 weeks ago) by who am I 34
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31 Answers
My daughter as took both and both works about the same this was years ago, but they tried her back on her Provigil 200mg and did not work so well she is 34 years old for some reason she started eye movement and walking in sleep.but am thing it was do to the fact for almost 10 years they took it from her and gave it back all at once and open her brain waves up to fast so not sure because now they took her off that and put her on 3 meds that make her sleep day and night
I know this was asked forever ago but I can't find much on people actually comparing the two. I thought I'd share my experience for anyone else in my same situation.
I went to a sleep doctor for my constant fatigue and weird sleep schedule. They basically told me I have a problem but didn't say what it is. They gave me nuvigil and it didnt work the way it should. I could still nap and it didn't really help with my fatigue. My doctor raised my dose and while it made me feel really fidgety, I was still tired. My family said I looked like I was doing drugs. Mentally I felt all over the place but physically I was really slow and tired. I did not feel good on it and it made me extremely irritable. I had the worst dry mouth I've ever had in my life, to the point where it would wake me up and I was so uncomfortable that I couldn't think about anything else.
I just started provigil and so far the side effects have been sooo much better. I don't feel fidgety and it doesn't make me more tired like nuvigil did. So far I feel a lot better on it than I did nuvigil. The only side effect I have noticed is headaches but to me they are worth it
Hi Thor283. I just saw your post. I've not taken either one -- but I have bipolar disorder -- for a LONG TIME. My psychiatrists and other doctors have prescribed methylphenidate. I've taken it for many years. It really helps me w. the depression and the lack of ability to even get out of bed. I take it as soon as possible in the a.m. It's been a lifesaver for me. I do have (controlled) high blood pressure) and Atrial Fibrillation. But I've read in the literature that methylphenidate is the one stimulant that doesn't affect one's heart/b.p. I hope you're finding relief w. Nuvigil if you tried it.
Thank you for the responses. In NY a new generic of Provigil was introduced last year and it's very weak. It's the brand APO. My big problem is I don't know what's causing this Lethargy so my PCP thinks I'm playing games. I'm not, I'm 67 with several problems that can cause fatigue. Therefore my PCP only gives me 20 of these weak Provigil per month and he won't let me try Nuvigil. I need a doc who considers lethargy a symptom he should treat. My current doc said he doesn't like Provigil because it's a stimulant to which I said it's not the kind of stimulant he thinks it is. Especially these APO Provigil, they're more like super coffee than anything else. I've also had other foolish docs refer to Provigil as Speed. Speed is Methamphetamine which they gave me in 1970's to lose weight. Provigil and Methamphetamine are very, very different.
So now my problem is finding a doctor willing to treat me for lethargy which effects me everyday. I feel both physically & mentally rundown. Everyday.
Happy morning! I started with Provigil, it didn't work as it's suppose to. Most of the time I fell asleep after 2 hrs of taking it! The Dr then increased my dosage to 2 per day, still not much improvement. I've been taking Nuvigil for the past 4 months n I'm very pleased with it! If I take it early morning 5am, It sometimes wears off after 8 hrs. I wish they made a higher dose of it, I think it would get me thru 12 hrs a day. Overall, for me, it's much more effective! I might add, the Provigil gave me a a headache. All drugs work different on each individual. Good luck with finding which one works best for U!
Hi, Thor283 ~ here’s what my sleep doctor explained to me about Nuvigil when it came out: Provigil (modafinil) is made up of a compound molecule; Nuvigil (armodafinil) was developed later by splitting this compound-molecule & using only the active half in the formulation.
As for the manifest differences, for me, both drugs were equally effective. HOWEVER, after several years on Provigil, I began to be unable to remember my dreams—any dreams. It felt as if I no longer dreamed at all—which probably wasn’t the case, but that’s how it felt since I had no memory or even the vague recognition that I had dreamed. Many people would not mind this, but for me, it made each day seem like a continuation of the previous day, without break: one long day... It became somewhat depressing (which I realize may show a more interesting dreamlife than “real” life!). But that’s how it was. The imaginative respite was gone. So my good dr.
switched me to Nuvigil—& voila! my extremely-detailed, emotionally-complex stories resumed. Nuvigil allowed me to retain my ”imaginative imperative”.
Other than that, no difference; no headaches (as others have mentioned). Hope you are enjoying a brighter, more wakeful life with either of these drugs.
The effects of Nuvigil last longer but made me feel very "twitchy" and hyper. Will definitely stay with Provigil as it's a much smoother ride for me.
Happy evening! I've been taking modafinil for a few years. My Dr increased my dose to 2, 200mg per day as I was going to sleep on taking only 1. I would take both at 5 am on an empty stomach and by 9am I was still going back to sleep! So, the modafinil wasn't working. I just started armodafinil 250mg. I pray this is more effective than the modafinil! What I have read it IS and this sounds hopeful for me! I have MS and fatigue is my biggest down fall. I will definitely will keep updating my progress! I've also taken adderall and Ritalin, both failed miserably with keeping me awake. I told my neurologist, maybe we should try a strong sedative since I'm having the opposite effect on the meds that are suppose to keep me awake!
My Doc will not give me Nuvigil.
What kind of Doc gives you folks either of these meds? Because I definitely need a different Doc.
I've also found that the generic Provigil stinks, especially the small oval tablets. They are only about 1/2 the potency of the original tabs.
A few people have basically answered this question from the pharmaceutical and commercial points of view, but perhaps I can add a little more detail.
This has ended up quite long, so here are the highlights:
Nuvigil is the same compound as Provigil, but contains only one of the mirror image orientations of the Provigil compound (Provigil is 'racemic', Nuvigil is the 'levorotary enantiomer'). That is, Provigil contains Nuvigil!
The owners of Provigil (Cephalon) paid off the generics companies to give them time to get their existing customers shifted accross to Nuvigil because they were about to lose a lot of money. They did this, in part, by increasing the prices of Provigil to make Nuvigil looks cheaper and more attractive.
Now the long version:
In 2010 the original patent for Provigil (the trade name for the compound modafinil) was owned by Cephalon Inc., this was due to expire on October that year. If this were the only patent protection Cephalon had on Provigil it would have meant a huge loss of income/profits for them. It is common that within the first few weeks of losing patent protection ("exclusivity") sales profits from a drug can drop by 80-90%. Given that Provigil was one of the most lucrative products for Cephalon, around 40% of the entire profit of the company came from Provigil, hence this would have been disasterous for them as a business.
Pharma companies are not silly businesses though and saw this coming from a long way off, which is why, in 1994 already they had applied for another patent on Provigil, which was granted in 1997 and should have given them about 15 more years of protection. This patent was not taken out on the actual compound structure of the drug however, rather on the size of the particles of the already existing compound. They found that it was more effective when the particles were smaller, and used this as the basis for a new patent.
However, when the original patent ran out various generic drug manufacturers who believed that the second patent was based on a weak argument (ie they believed that defining the size of the particles was not a novel enough idea to be given a patent for) decided to challenge the rights of Cephalon to exclusivity based on this patent. Instead of allowing this case to be decided in court, Cephalon agreed to settle with these generics manufacturers for around $200 million, under the condition that they recieve six further years of exclusivity on the sale of Modafinil.
This is where NuVigil comes in. Cephalon had developed NuVigil (at least in a business sense) for the purpose of continuing to recieve high profits from the same group of patients after their exclusivity rights ran out on Provigil.
The drug NuVigil is the same compound as ProVigil, but it is what is called the "levorotary enantiomer". Basically the compound when produced comes in two shapes which are mirror images of each other, the relevant part of this here is that they will bind in slightly different ways to the receptors in a brain even though the 'ingredients' are the same. The standard version of modafinil contains both sides, or both of the shapes if you will. Nuvigil (or Armodafinil) contains only one of these shapes - hence the 'levorotary'. So in actual fact Provigil (modafinil) actually contains Nuvigil (armodafinil), as well as the opposite shaped version.
The difference between these two drugs then, whilst not huge, is enough to justify strong patent protection. Exactly what Cephalon needed in order to avoid generic imitation. The problem was that many people had already been taking Provigil with a lot of success. They needed to 'migrate' their existing customers over from Provigil to Nuvigil before the generic version of Provigil (modafinil) came out and their customers left them for the cheaper, and exactly the same, version.
So within the six years that they bought themselves through the settlement Cephalon began this process, in large part by increasing the price of Provigil dramatically (by 74% I believe) such that the new version Nuvigil actually ended up being cheaper. There were likely deals going on with insurance companies and health care collectives, to promote/make compulsory the use of the branded and/or new version but I am not sure of the details so will make no specific claims about that. The marketing of Provigil stopped in 2011 and the heavy marketing for Nuvigil began shortly afterwards. The idea being to get all of the customers they could to switch to Nuvigil before the generic versions of Provigil became available. This seems to have worked to a reasonable degree, and it appears that many of you have experienced the effects (at least financially) of these tricky moves.
Curious how much Nuvigil people are working with? When I first used it I was at 1/4 of the 50 mg and it seemed helpful. After a while it stopped working so I went up to the 1/2 50 mg. made me sleepy.
Tried 50 mg same thing for like a zombie all day. These reactions made me nervous about trying to take more but maybe that is what I need to do?
Hi there Thor283,
I'm only 7 years late in answering your original question, but thought I'd give it a go just the same. Besides, it may be valuable (or not!) to new subscribers even if it's old hat to others.
I'll start out by saying, I love my Nuvigil! I did start with Provigil, but the effects didn't seem to last very long in my system and by three o'clock in the afternoon, after taking it at ten a.m., I was desperately needing a nap! When my Dr. switched me to Nuvigil about eight years ago, I really wasn't expecting a big difference. She said it was stronger and designed to last longer, and as she has always been, she was right again on this! I went from being able to function for four full hours (after an hour to kick in) to at *least* ten full hours of focused, alert time. And still NO jittery, wired or high feeling. Honestly, I cannot say enough good things about Nuvigil and how it works for me.
I am in a position where I do not/can not work outside my home, but if I ever was forced to, for whatever reason, I might be able to handle to mental, ie; concentration, alertness, focus part of it, but definitely not the physical aspects of a real job!
I do hope you are doing well, now seven years post your original question, or at least as well as you possibly can be given your health issues. I do so hate to see anyone suffering! "CURES" are what I continuously hope and pray for, for all us afflicted with one, or multiple issues. Be well, Thor 283!!
Ok. Well I have been on Provigil 200 mg and I have been on Nuvigil 250 mg. I am currently on the 250 of Nuvigil. Provigil is less potent then Nuvigil. With saying that it has taken me almost 8 months to get used to the Nuvigil. The Nuvigil is 10 times stronger then Provigil. If I were you I would stick with the Provigil but, that's just me. I have not met anyone that could handle Nuvigil. It's not a drug that you want prescribed to you another words I can't say too much I'm just going to say that and I hope that I have helped you.
I’ve tried both and to tell you the truth, I didn’t notice any difference.
I researched this one and I found out why the pharmacy would put out two drugs that were almost identical.
It boils down to...
MONEY.
The Provigil was a hit with consumers. However, the patent was coming due and would go generic. The pharmacy that does a new drug spends millions. I’m not arguing about that because to do research and develop a drug takes years. Next is the marketing to
consumers and patient education to physicians is a huge expense. The packaging and distribution all adds up. This is where those sky high prices come in. My beef is that our drugs (US) are much more expensive than other countries price for the same drug.
Consumers are protected financially by putting an expiration date (years) on the drug’s patent. It’s “coming off patent” which is where the generics come in.
So who gets to do the initial generic version? It’s not an easy process to buy the rights to do the exact chemical structure of the Brand name. If it’s different, it won’t be governmentally approved to go up against the other pharmas all trying to get the generic version.
Here is where the lawyers and lobbyists are necessary to get in the game. You can imagine the cost on that part !
The initial Brand pharmacy is about to lose their exclusivity. All they need to do is tweak the chemical structure and prove that it’s more effective. Ex... They develop it for pediatric use or a better delivery system and the generics are held off and the clock starts ticking again. What does it mean to consumers? They get to continue paying for high priced drugs.
This is what happened with the development of Nuvigil. It was just different enough to postpone the patent date.
I hope I explained this properly or if someone knows differently, please comment.
:-)
Big bucks again...
The Nuvigil is hard to get use to. I was on Provigil 200 mgs and worked great. The Nuvigil
Is much stronger. I am on 250 mgs of it. And It was the worst thing. If you half a 200 of provigil it's better. It was for me.If I had the choice I'd go back to Provigil. Just me. Hope I helped.
I have tried them both. In my experience the Provigil did not last as long as the Nuvigil did. I currently take Nuvigil twice a day and it seems to work fine. When I tried Provigil it would only last for 3 hours max.
Related topics
nuvigil, provigil, depression, multiple sclerosis, narcolepsy, drowsiness, obstructive sleep apnea/hypopnea syndrome, shift work sleep disorder, fibromyalgia, chronic fatigue syndrome (cfs), jet lag
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