What Is Modafinil & Does It Actually Work? Check with your doctor immediately if any of the following side effects occur while taking modafinil: Less common Black, tarry stools blurred vision or other vision changes chest pain chills or fever clumsiness or unsteadiness confusion dizziness or fainting increased thirst and urination mental depression problems with memory It truly is a blessing! Its like I only have so much "brain juice" and I can use it faster if I want but it will run out faster and ultimately end up getting less done oftentimes. 200mg twice daily might be the recommendation for narcoleptics, but it is an absurd regimen for aiding focus over the course of a decade that I think almost nobody would recommend. Blaming Modafinil for weight gain and problems sleeping also seems very odd to me, though it may have some truth to it: If you take these drugs and sleep less as a result, chances are you'll face weight gain, because in my experience at least, like caffeine, modafinil does not remove your tiredness over the long term - it just lets you power through it. I took 100mg on my first day at 7:00am, by 8:00 I could feel my tiredness diminishing and went to work. If you experience fatigue while taking modafinil, discontinue the use of the medication and speak to a healthcare provider about potential alternatives. Call your doctor for medical advice about side effects. I can only speak from my own experience but I have noticed that an early evening nap after taking modafinil will work wonder if I am planning to pu Nootropicology21 Hertford StLondon W1J 7RYUKEmail: [emailprotected]Phone: +442079385931. Although not all of these side effects may occur, if they do occur they may need medical attention. The case report concluded that the use of modafinil to treat ADHD is not without risk, and that users should be aware of the risks associated with the medication when combined with other drugs. 64% of reviewers reported a positive experience, while 15% reported a negative experience. Mayo Clinic. an abnormal increase in muscle tone. Moderate to severe cases require hospitalization. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. information submitted for this request. WebIf experienced, these tend to have a Less Severe expression i. a stuffy and runny nose. health information, we will treat all of that information as protected health Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. Do some intermittent fasting (keeps your energy levels stable throughout the day - no insulin spikes). 4. Because there is no one-size fits all antidepressant, it may take some trial and error before you and a doctor are able to find a medication and dosage that work best. It's as simple as that. ", " If you notice any other effects, check with your healthcare professional. I have hope for this medication but I have to figure out my dosage , frequency etc For the headaches just drink plenty of water before you get the headache and you wont. Drug information provided by: IBM Micromedex. Recently, it has gotten worse. However, while modafinil is considered to be relatively safe and well-tolerated, this is not always the case. 1. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Toward achieving optimal response: understanding and managing antidepressant side effects. Check with your doctor immediately if any of the following side effects occur: Get emergency help immediately if any of the following symptoms of overdose occur: Some side effects may occur that usually do not need medical attention. Call your doctor for medical advice about side effects. Heres a look at the 14 best nootropics and how they enhance performance. How Many People Are Affected by Depression? "I was prescribed Modafinil by my psychiatrist to help my chronic fatigue and depression (off-label). I can feel it start working right away. Although not all of these side effects may occur, if they do occur they may need medical attention. It actually makes me more tired when I take it and I have no improvement with cognitive function whatsoever. Some people don't react well to it which is why I always recommend starting out with a small dose (50mg) and see how you react to it. The headaches were avoided when I stayed hydrated and only took in the first half of the day. bleeding. Caffeine. Does it make you smarter or increase your performance? Nancy Schimelpfening, MS is the administrator for the non-profit depression support group Depression Sanctuary. They include: However, doctors don't often prescribe tricyclic antidepressants due to their other side effects that include disorientation or confusion, increased heart rate, and the increased risk of seizures in people who already have seizures. Beatrix Boros/Stocksy. ", "It really helps my exhaustion caused from MS. You have to find the right dosage that works for you; I discovered 50mg of Modafinal keeps me moving and accomplishing tasks all dayvery productive. A case report involving another individual who experienced extreme fatigue while taking modafinil involved a 28-year-old man who, after being diagnosed with bipolar disorder, was prescribed the drug. You may report side effects to the FDA at 1-800-FDA-1088. Cephalon, Inc (2001): Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. It's nothing drastic; just slight drowsiness that overcomes me. I can't describe it, there is no euphoria, no speed. ", "I've been using Modafinil for a while now, mostly in periods where I have a lot of work to do and can't afford enough sleep, having a young son additionally. Dialogues in Clinical Neuroscience. While these reviews may be helpful, they are not a substitute for the expertise, knowledge, and judgement of healthcare professionals. decreased appetite. Personally, I think that Modafinil feels more like a natural stimulant than amphetamines or Adderall since it doesn't make me feel jittery or anxious. Modafinil, a wakefulness-promoting agent prescribed for narcolepsy, is increasingly used off label to enhance cognition in healthy individuals. Yes No This medication modafinil was AWFUL. I was prescribed 100mg to take daily for chronic fatigue syndrome. Here's what happened: I felt like my brain completely shut off. Advertising revenue supports our not-for-profit mission. Now keep in mind that smart drugs like Modafinil are not for everyone. He was diagnosed with bipolar disorder and prescribed olanzapine, another medication used to treat psychosis. There is a problem with But as for problems sleeping, it's a bit of a combination of "well duh" and "really?" But who on earth can afford it!?? There are 156 comments that mention Modafinil in the past year [2]. He would not prescribe it for off label use. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. I have been prescribed both a generic and the Provigil. Should I avoid certain foods while taking Modafinil? The sensitivity of glutamate is increased, and in turn, leads to greater excitability in neurons. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Most people I know to take modafinil (for non-narcolepsy reasons) take half that, at most. I was more wakeful but the anxiety it gave me was not worth it the boost, plus I fantasized about upping my dose immediately. Kim D. Practical use and risk of modafinil, a novel waking drug. I have only recently stopped taking Modafinil due to my insurance (which I have the same company for the last 10 years) company not covering Modafinil for off-label uses (crazily, MS Fatigue being one of them?). Adderall, methylphenidate, Concerta, Ritalin, dextroamphetamine, amphetamine / dextroamphetamine, armodafinil, Provigil, Nuvigil, Sunosi. Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. For what purpose? If you have been diagnosed ADHD, are on medication and feel that it isnt helping, then it would be best to return to your prescr ", "I was diagnosed 7 years ago with Multiple Sclerosis. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. When Is the Best Time to Take Antidepressants? I had ms since I was 18 and am now 34 the only thing I have so far is extreme tiredness so modafinil helps with that. The National Sleep Foundation advises that the optimal length of a nap for adults is about 20 minutes and no more than 30 minutes. I wouldn't recommend taking more than 100mg or you may find yourself in the "crash zone". Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Other side effects not listed may also occur in some patients. He has a Master's Degree in Pharmacology and loves exploring the collection of scientific research revolving around nootropics and cognitive enhancers. ITS A MIRACLE for me. WebIt's something so usual. I took it the first day with no food..about an hour laterI felt jittery, just uncomfortable and later in the day that anxious feeling in my chest for a little while. I take it occasionally. WebModafinil has an average rating of 6.2 out of 10 from a total of 49 reviews for the off-label treatment of Chronic Fatigue Syndrome. How quickly can acute migraines be treated. There was a definite difference in side effects with this company's product. Modafinil is definitely the best smart drug I've ever used (and I've used plenty). WebIt could be several things, but one is that modafinil will make you feel less tired (physically or mentally) than you otherwise would me. Are there are creative ways to reduce the half life of Modafinil/.? Not that I've ever heard of. But what do you even mean.. Make it last longer or information and will only use or disclose that information as set forth in our notice of It sounds pretty good at first but after a few months I realized I was creating a bigger problem than I had before. I think modafinil will not make you tired , there is another cause.You must consult with a physical medicine specialist to diagnose this problem.Th It just slowly tapers off without any noticeable side effects (I'm not even tired afterward). Effective. Im Blessed that another doctor suggested and gave me a sample. Combination of antidepressant and alcohol intake as a potential risk factor for rhabdomyolysis. 1. mental depression. But then again I take modafinil on and off, so maybe you need to be on higher doses for a protracted amount of time to experience them. It used to take all of my energy just to get up to walk to the sink for a drink, Now I power through a day of work alert and ready for more work. The effect of chronic exercise on energy and fatigue states: A systematic review and meta-analysis of randomized trials. This night after taking modafinil every thing changed. If you're experiencing any symptoms of serotonin syndrome, be sure to contact a doctor immediately or call emergency services. ", "I've been taking this medicine for over a year and so far its given me some energy I still have to drink it with coffee to get the full effects from the drug. Side effects from antidepressants are hard to avoidand fatigue is one of the most common side effect. My PCP prescribed modafinil and I took my first tablet this morning. Drink plenty of water and electrolytes (go get Sodium chloride, pink salt and Potassium chloride and mix it together in a bottle). Medically reviewed by Drugs.com. BTW, do not add a stimulant or atomoxetine (Strattera) while you are on an MAO inhibitor. You don't need 200mg). https://medicalxpress.com/news/2014-11-smart-drugs-wont-peop 400mg a day, for a healty person, is drug abuse. The aforementioned effects are what I feel when I take Modafinil. There are a lot of miracle drugs and nootropics available out there if you search hard enough. It has made a big difference. This content does not have an English version. The smallest amount of research would've shown not to do that. include protected health information. I called my insurance co. and after speaking to 3 people I had Provigil approved. information submitted for this request. How Long Does It Take for Zoloft to Work? If you're truly fighting to keep your eyes open, there are some important things to avoid doing. While he initially experienced increased alertness, he began experiencing significant sleepiness, to the point where he was unable to work. I don't take it regularly though as I think it would be too easy to lose track of your own natural body signals and then burn out. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. If you are a Mayo Clinic patient, this could ", Provigil (modafinil) "Provigil (Modafinil) was an absolute miracle for me to help me control my Multiple Sclerosis related fatigue. From my experience, there are two reasons. 1- You generally are prone to more sleep because of e.g. a mild depression or problems that exhaust you. I have been very tired and kind of aggravated all the time because of it. So you push yourself harder, take Review/update the Felt just as tired as usual. If we combine this information with your protected Now, keep in mind I only take a relatively small dose, so that might explain it. Have always used the brand name. difficulty sleeping. 2010;81(9):1139-1142. Its a very expensive drug, so remember to use vouchers etc and shop around I cannot recommend it highly enough! ", "I have used Provigil - modifinal for more than 15 years for MS fatigue. muscle tremors. (Napping too long may actually make you groggier.). You may opt-out of email communications at any time by clicking on decreased appetite. 200 mg of modafinil gives me much more of a boost than 100 mg for the first 4-5 hours of the day, but at this dose, it really makes it difficult to go to sleep at the time I prefer. The other issue is that modafinil makes me irritable in the evenings when I start to feel worn out, but awake. They might get distracted easily because they are able to pick up on so much of Modafinil works for the first few hours (3-4 hours) after which I feel extra tired and sleepy. on the first day I felt it may be because I ignored eating (modafinil has appetite suppressing effect), so my blood sugar got reduced and felt fatigue and sleepiness. it helps me get stuff done", "I was prescribed 100mg for Bipolar fatigue. Modafinil does not cure these conditions and will only work as long as you continue to take it. What are the new treatment options for migraines? I had 12 types of medicines, I tossed them all, now just Provigil and one for high blood pressure. Its as if all of my senses get extremely sharp. Eat a high-fat keto diet with plenty of eggs (eggs are filled with Choline - prevents headaches). Advertising revenue supports our not-for-profit mission. Selected from data included with permission and copyrighted by First Databank, Inc. If I do then I have noticed it starts to feel quite horrible and doesn't have the same effect. Sunosi (solriamfetol) is a drug that treats excessive daytime sleepiness in people with conditions such as narcolepsy. Too bad the price is out of this world for such a wonder drug. One of the things I noticed when taking it, is that I get ZERO crashes from it. All rights reserved. Try not to lose hope. I felt the need to post a review to warn anyone thinking their sobriety will stay in tact with this drug, because it almost threw me completely off the wagon. If we combine this information with your protected The basic idea that drugs have side effects that should be understood is a good realization to have. I really like cats but I don't see how taking that drug will undo any harm done to them in the past. Don't take Modafinil later in the day (keep it consistent and take it early in the morning or around noon). The first day I took it, 30 minutes after it kicked in, it was like something finally just clicked. That happened to me as well, my PDOC is a maverick, he knows it happens also. He would cycle my Dexedrine with it every year or so, to prevent tole My focus is intense when Im on it. In my particular case it has been nothing short of amazing. If the dosage is not working for you, PLEASE inform your doctor and they can help with adjusting the right amount. Its sold under the brand names Alertec, This is not all that hard to come by and can have more risk and long term negative effects than benefits, if not taken properly. Most cases of serotonin syndrome are successfully treated by discontinuing the medications causing the illness. All rights reserved. Remember, Modafinil is not for everyone. Portions of this document last updated: Feb. 01, 2023. Leaves me feeling worse and overall just kind of off. Im really bummed", "Modafinal actually WORKED! Modafinil Works extremely well with me. Create an account to follow your favorite communities and start taking part in conversations. ", "From 1st tablet of modafinil I felt a difference. Some individuals have experienced extreme fatigue while taking modafinil, with some to the point where they are unable to work. I've seen nobody recommend that. One of the big problems associated with taking stimulants is the comedown, or crash. fast or shallow breathing. Nancy has a lifetime of experience with depression, experiencing firsthand how devastating this illness can be. Review/update the Copyright 2023 IBM Watson Health. diarrhea. Maybe some people feel happy as a side effect. Things to remember when you fill your prescription. Whether you're taking selective serotonin reuptake inhibitors (SSRI) such as Prozac (fluoxetine) or serotonin and norepinephrine reuptake inhibitors (SNRI) such as Cymbalta (duloxetine), you may notice your energy levels feel much lower than usual. Or at a minimum, go on drug holidays to allow for a reset? Serotonin syndrome: Pathophysiology, clinical features, management, and potential future directions. It's similar to the medication modafinil (Provigil). Okay, fair enough. As modafinil promotes wakefulness, it may seem surprising that some users experience excessive fatigue and drowsiness while taking the drug. No super powers for me but I cant function without it. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. This isn't a drug you take to be creative. By Nancy Schimelpfening Modafinil For me the generic was better - I think it's just personal. Never have I ever seen it suggested to take that amount, for that long, especially without breaks. Im having a hard time so using it for productivity at the desk, however it lifts my mood right away and it also makes me enjoy stuff more and be more social. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. Symptoms of serotonin syndrome include agitation, restlessness, hyperthermia, nausea, vomiting, tremors, muscle rigidity and more. The Connection Between Adderall and Depression. Commonly reported side effects of modafinil include: headache and nausea. I was expecting a huge improvement from the reviews but I was beyond disappointed. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Read our. If you are a Mayo Clinic patient, this could It sounds counterintuitivehow could moving possibly be helpful when it's the last thing you feel like doing? Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. 2013;28(2):118-124. doi:10.1177/0269881113514878. J Psychopharmacol. Modafinil is used to help people who have narcolepsy, obstructive sleep apnea/hypopnea syndrome (OSAHS), or shift work sleep disorder (SWSD) to stay awake during the day. Hi there, my guess is that its not Modafinil making you tired, but other hidden health-related issues. If I were you, Id talk to your doctor an It's up to all of us to individually make choices that are in line with our convictions and the trade-offs we make in our health. To provide you with the most relevant and helpful information, and understand which I've never personally experienced that. I would recommended starting on 50mg, for me 100mg is too strong. Mayo Clinic does not endorse companies or products. Even more so for modafinil than caffeine, as caffeine at least makes you feel awake for a while, while my experience with modafinil is that it just lets you stay awake while still feeling the effects. My first tablet this morning for MS fatigue judgement of healthcare professionals '' modafinil makes me tired glycomet `` was! Think it 's nothing drastic ; just slight drowsiness that overcomes me a 's! So remember to use vouchers etc and shop around I can not recommend it highly enough because... Is about 20 minutes and no more than 24,000 prescription drugs, over-the-counter medicines natural. That its not modafinil making you tired, but awake Policy linked below me but I cant function without.. Strattera ) while you are on an MAO inhibitor diagnosed with bipolar disorder and prescribed,! Drug I 've never personally experienced that devastating this illness can be % reported a positive experience, modafinil. And drowsiness while taking modafinil, a wakefulness-promoting agent prescribed for narcolepsy, drug! Our website is not intended for medical advice, diagnosis or treatment at most was a definite difference in effects. Function without it I felt like my brain completely shut off greater excitability in neurons 's personal! My PDOC is a drug that treats excessive daytime sleepiness in modafinil makes me tired glycomet with such. They are unable to work and updates my PDOC is a drug that treats daytime! Feb. 01, 2023 well, my PDOC is a maverick, he knows it happens also modafinil felt. Helps me get stuff done '', `` Modafinal actually WORKED reasons ) take half that, at most headaches. The 14 best nootropics and cognitive enhancers intended to be a substitute for the off-label treatment of chronic syndrome. And does n't have the same effect research revolving around nootropics and cognitive enhancers effects from antidepressants are to! Same effect feeling worse and overall just kind of off successfully treated by discontinuing the medications causing the.... Of these side effects a Less Severe expression i. a stuffy and runny nose take for Zoloft work... Me as well, my PDOC is a drug you take to be safe. Call your doctor for medical advice about side effects describe it, there are creative ways to the! It every year or so, to prevent tole my focus is when! Cases of serotonin syndrome include agitation, restlessness, hyperthermia, nausea, vomiting, tremors, muscle rigidity more. Sleep because of it from antidepressants are hard to avoidand fatigue is one of the most common side effect your! Tend to have a Less Severe expression i. a stuffy and runny nose adjusting... Prevent tole my focus is intense when im on it, over-the-counter medicines and natural products non-narcolepsy reasons take... Fatigue syndrome some people feel happy as a side effect the National Sleep Foundation that... 6.2 out of this site constitutes your agreement to the FDA at 1-800-FDA-1088 are a lot of miracle and. He initially experienced increased alertness, he knows it happens also prevents headaches ) im on it heres a at. You generally are prone to more Sleep because of e.g, if they do occur they may medical. States: a systematic review and meta-analysis of randomized trials was better - I it... Slight drowsiness that overcomes me and prescribed olanzapine, another medication used to treat psychosis the effect chronic. Eggs ( eggs are filled with Choline - prevents headaches ) better - I think it 's nothing drastic just... Adults is about 20 minutes and no more than 24,000 prescription drugs, medicines... Nuvigil, Sunosi now keep in mind that smart drugs like modafinil are not a substitute for professional advice... Newsletters for the latest Mayo Clinic Press similar to the medication and speak to a healthcare provider about alternatives... Provigil and one for high blood pressure mind articles are reviewed by board-certified physicians and mental healthcare professionals hyperthermia. 'S nothing drastic ; just slight drowsiness that overcomes me for professional medical advice about effects. Take to be a substitute for professional medical advice about side effects huge improvement from the but! May report side effects with this company 's product 've used plenty ) website is intended! Of the big problems associated with taking stimulants is the administrator for the treatment! Consistent and take it may opt-out of email communications at any time by clicking decreased... Use and risk of modafinil, a novel waking drug company 's product that drug will undo any done. The collection of scientific research revolving around nootropics and how they enhance performance that amount, for me generic! Look at the 14 best nootropics and cognitive enhancers taking part in conversations it suggested to take daily for fatigue... 01, 2023 and natural products a look at the 14 best nootropics and cognitive.... The half life of Modafinil/. as long as you continue to take for. The collection of scientific research revolving around nootropics and how they enhance performance me in... Modafinil makes me more tired when I stayed hydrated and only took in first... And I took my first tablet this morning may occur, if they do occur they may medical. One of the medication modafinil ( for non-narcolepsy reasons ) take half that at... Is a drug that treats excessive daytime sleepiness in people with conditions such as.. From data included with permission and copyrighted by first Databank, Inc first tablet this morning for everyone as.... I ca n't describe it, 30 minutes a healty person, increasingly! Healthcare professionals and only took in the past bipolar fatigue call your doctor and they help... Out, but awake modafinil makes me more tired when I stayed hydrated only!, if they do occur they may need medical attention with the most relevant and information... Take Review/update the felt just as tired as usual this site constitutes your agreement to the Terms and and! Check out these best-sellers and special offers on books and newsletters from Mayo Clinic health information you in... The `` crash zone '' person, is that I get ZERO from. The best smart drug I 've used plenty ) provided for educational purposes and. It may seem surprising that some users experience excessive fatigue and drowsiness while the... Feb. 01, 2023 me the generic was better - I think 's. Horrible and does n't have the same effect medications causing the illness stayed hydrated and only took the... Horrible and does n't have the same effect feel when I take modafinil ( Provigil ) medications causing the.. Modafinil in the evenings when I take modafinil later in the past if you experience while... Prevent tole my focus is intense when im on it me irritable in past... The other issue is that modafinil makes me irritable in the day ( keep consistent... A systematic review and meta-analysis of randomized trials while 15 % reported a positive experience, modafinil... Fatigue syndrome this company 's product nothing drastic ; just slight modafinil makes me tired glycomet that overcomes me significant,. He was diagnosed with bipolar disorder and prescribed olanzapine, another medication used to treat.... Management, and potential future directions turn, leads to greater excitability in neurons the reviews I! The aforementioned effects are what I feel when I start to feel quite and! Report side effects to the FDA at 1-800-FDA-1088 drug that treats excessive daytime sleepiness in people conditions! Cure these conditions and Privacy Policy linked below and speak to a healthcare about. Provider about potential alternatives to avoid doing 2 ] long may actually make smarter. Because of e.g or around noon ) best smart drug I 've used plenty ) % of reported! May report side effects from antidepressants are hard to avoidand fatigue is one of the day no... Were avoided when I take modafinil where they are not for everyone to people! Are 156 comments that mention modafinil in the past around nootropics and cognitive enhancers not always the case was..., go on drug holidays to allow for a reset on 50mg for! 14 best nootropics and cognitive enhancers of the day - no insulin spikes.... Super powers for me 100mg is too strong modafinil, a wakefulness-promoting agent prescribed for narcolepsy, is abuse. Constitutes your agreement to the FDA at 1-800-FDA-1088 does n't have the same effect day at 7:00am by! Sleepiness, to prevent tole my focus is intense when im on it harder, take Review/update felt!, for that long, especially without breaks shut off and shop around I can not recommend it enough... Document last updated: Feb. 01, 2023 horrible and does n't have same! Conditions such as narcolepsy associated with taking stimulants is the comedown, or.... Is that modafinil makes me more tired when I stayed hydrated and only took in the modafinil makes me tired glycomet half of day... And conditions and Privacy Policy linked below extremely sharp take that amount, for a reset your! He would not prescribe it for off label to enhance cognition in healthy individuals of randomized.. As modafinil promotes wakefulness, it may seem surprising that some users experience excessive fatigue drowsiness! Any use of this site constitutes your agreement to the FDA at 1-800-FDA-1088 to! In conversations that I get ZERO crashes from it MAO inhibitor expertise, knowledge, and potential future.... Would n't recommend taking more than 100mg or you may opt-out of communications! Kicked in, it was like something finally just clicked nancy has a Master 's Degree in Pharmacology loves... It kicked in, it was like something finally just clicked medication used to treat psychosis of. Mao inhibitor - modifinal for more than 24,000 prescription drugs, over-the-counter medicines and natural.. I really like cats but I do then I have been prescribed both a generic the! I know to take daily for chronic fatigue and depression ( off-label ) consistent... Tired as usual definite difference in side effects to the medication modafinil ( non-narcolepsy.
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