Posted by CareBear04 on January 26, 2008, at 18:16:50
In reply to Is Provigil Ritalin far too much stimulation?, posted by qbsbrown on January 26, 2008, at 9:19:26
i have combined provigil with adderall and occasionally adderall and concerta (ritalin). i was on provigil 200mg when my pdoc switched me over to adderall. she allowed me to keep taking the provigil as needed, but i think that may be because she didn't think too highly of it in the first place or find it very stimulating. i thought the two worked pretty well together-- the provigil corrected my attention problem to an extreme, making me so focused that i would do something for hours, forgetting about everything else. adderall gave me a little more energy and motivation. concerta and adderall, too, worked a little differently for me.
as for justifying combinations, i don't really know. my thought would be that the only authority your dr would need to answer to would be your insurance or whoever is subsidizing your meds. the concern then wouldn't be much the wisdom of the treatment choice as the resonsibility of paying for two drugs that are supposed to do about the same thing. drs are given a lot of discretion, particularly in treating mental illness, and their treatment choices are not usually questioned unless they deviate significantly from accepted standards. prescribing provigil + ritalin isn't unheard of, so my impression is that your dr may be proceeding a litle defensively instead of going with what seems to be working. but you would need more scientific information to back up your position...
cb
poster:CareBear04
thread:808987
URL: http://www.dr-bob.org/babble/neuro/20080114/msgs/809074.html