FROM OUR EXPERTS
There I was this morning at the pharmacy with my mouth gaping open. The pharmacist had said, “You just need to sign here. There is no copay.”
What?! I didn’t owe anything? That can’t be right.
I knew that I needed to fulfill my insurance’s $100 deductible for prescription medications for this calendar year. I even had my credit card in hand ready to swipe through the card reader. Ready to pay the big bucks to bring home my precious one-month supply of Nuvigil (which I take to combat MS-related fatigue on occasion ).
“Why is that? I know that I owe something,” I said.
My pharmacist pulled out a brochure which included a plastic “Nuvigil Prescription Savings Card” from the pharmaceutical company. It clearly advertises “co-pay as low as $5 on your prescription refills.” A footnote at the bottom of the front page states that this “offer [i...
I previously posted about the diagnosis of insomnia, the difference between primary and secondary/comorbid insomnia, and the importance of evaluating for and treating any underlying causes of insomnia. I encourage you to read my Secondary Insomnia post before reading any more of this post. Today I will be talking more about medication treatment options for secondary (comorbid) insomnia. Although persons with primary insomnia (insomnia not due to an underlying medical or psychiatric disorder) typically do not complain of excessive daytime sleepiness, drowsiness or sleepiness are common symptoms of patients with secondary insomnia. Provigil (modafinil) is a wakefulness promoting agent that acts on a central portion of the brain called the hypothalamus to reduce sleepiness. Because it minimally affects the higher centers of the brain, such as the cortex, it is less likely to cause jitteriness and anxiety than Ritalin and other stimulants. Provigil has Food and Drug Administration (F...
In How to Manage MS-Related Fatigue , pharmacological and non-pharmacological strategies to combat fatigue were discussed. MS fatigue is not the same as simply being tired, or muscles which are fatigued after a good work-out, or the desire to sleep in on a Saturday morning. MS fatigue can be debilitating and interfere with daily functioning.
Even before I was diagnosed with multiple sclerosis, I was T.I.R.E.D.!!!!
After diagnosis it got worse, to the point where I needed to take 2-3 naps daily just to make it through. So I mentioned this to my neurologist who gave me some samples of a medication to try. Those samples were for Provigil, a prescription medication used to improve wakefulness in adults who experience excessive sleepiness due to one of the following diagnosed sleep disorders: obstructive sleep apnea, shift work sleep disorder, or narcolepsy.
Modafinil (Provigil ® / Cephalon, Inc.) is not approved for MS-fatigue but is commonly ...
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