NUVIGIL Reviews (ARMODAFINIL)

Average Rating: 3.3 (197 Ratings)

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 CNS, MISCELLANEOUS    DEA Schedule IV   

 Type: Rx Drug

  

NUVIGIL  (ARMODAFINIL):  Armodafinil reduces extreme sleepiness due to narcolepsy and other sleep disorders, such as periods of stopped breathing during sleep (obstructive sleep apnea). It is also used to help you stay awake during work hours if you have a work schedule that keeps you from having a normal sleep routine (shift work sleep disorder). This medication does not cure these sleep disorders and may not get rid of all your sleepiness. Armodafinil does not take the place of getting enough sleep. It should not be used to treat tiredness or hold off sleep in people who do not have a sleep disorder. It is not known how armodafinil works to keep you awake. It is thought to work by affecting certain substances in the brain that control the sleep/wake cycle.   FDA Approval Date: 2007-06-15 (Sources: U.S. Centers for Medicare Services, FDA)

  

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Key to Ratings: 1=LOW (I would not recommend taking this medicine.)
5=HIGH (this medicine cured me or helped me a great deal.)

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RATING  REASONSIDE EFFECTS FOR NUVIGILCOMMENTSSEXAGEDURATION/
DOSAGE
DATE ADDED
 
 3  Severe multi-symptom Narcolepsy euphoria, severe dry mouth, muscle pain, migraines, mild confusion, short term memory loss, heart palipitations, anxiety,anger,irritability, people have commented I don't seem like myself, worse sleep cycles-feel like a narcoleptic insomniac(LOL!), seemed to work better first week or so, now not so much. Really hard to get up in the a.m. Started falling asleep in school at eight years old, definatively diagnosed with narcolepsy at Stanford University in 1992. Have done the pharmacutical merry-go-round, tend not to tolerate many drugs well and do not like drugs that have to be taked on a daily basis. Was taking 5mg Dexedrine XR which suited my lifestyle, only took it when I had to drive. New neurologist insists Nuvigil is the only drug she will ok me to drive with. Says Dexedrine is to addictive, addiction not a problem since I was making 60 5mg XR's last 4-5 months. Really feel like I'm part of this Dr.'s pharmacutical "agenda". My research shows Provigil/Nuvigil can be just as addictive as Dexedrine & Dr. wants me to take it every day, no breaks. I don't know if this is right for me but feel like a trapped guinea pig since I live in a rural area & need my Driver's license. Have never communicated with any other narcoleptic, interested in comments/suggestions from other narcoleptics F 41 2 months
150mg 1X day
7/19/2010
Email
 2  Sleep apnea Working great first day of Rx, then by about 3 or 4 days actually CAUSING me to feel extreme sleppiness. From feeling very clear headed on the first day to feeling a thick fog on day 4 or 5. Have to stop for about a week and a half and restart over and over. I am concinced I am experiencing a drug interaction between one of the other meds I take and Nuvigil. I have Sleep Apnea, fibromyalgia, epilepsy, and lupus. Taking pain meds (fentynal patch and methadone) but suspect the interaction to be with one of the following oher medications I take: Neurontin, Dilantin, LYRICA, SAVELLA, ZOLOFT, Abilify. If anyone else experiences similar symptoms and is taking ANY of these drugs PLEASE EMAIL ME as this will be the only way to detemine what might be happening. I take all my meds at night, so in the morning they are still in my blood system. I generally need to take Nuvigil about an hour after awaking. I've noticed if I take Nuvigil late in the afternoon (around 4pm) the resulting drowsiness is NOT as bad as in the AM. I suspect that is because most of last nights meds are out of my system. But taking Nuvigil that late sort of defeats the purpose as my day is already gone, and it's too close to bedtime! Thank you so much for responding. F 49 3 months
200mg 1X day
7/19/2010
Email
 1  Narcolepsy Light-headed, dizzy, sleepy, lack of focus, forgetfulness, diarrhea, decreased depth perception, dry mouth, loss of balance, prickly sensation all over skin, slurred speech I started taking Nuvigil 19 days ago because my insurance will no longer cover Provigil. I started taking 200-400 mg/day of Provigil about 10 years with no problems at all. About 5 years ago, I switched over to Ritalin because of a drug interaction and took it for about 4 years. After taking Ritalin long term, I developed high blood pressure and went back to Provigil. Again, no problems at all for the past year. 19 days ago, I was put on Nuvigil 150 mg/day. After 7 days, I felt that I needed a higher dosage because I was still sleepy and lethargic. I then changed to 250 mg/day and felt a little more awake, but then everything hit the fan and I thought I was losing my mind. At first, I blew it off as stress, but when Nuvigil really got into my system, it was clear that it was the culprit. I stopped taking Nuvigil 3 days ago and am just now beginning to feel close to sane. My doctor has now prescribed Vyvanse, but I am afraid to take it because it sounds the same as Ritalin. What a mess. Nuvigil really did a number on me. I am now afraid to take anything and am suffering to make it through each day. F 40 16 days
250 1X day
7/19/2010
 2  Incapacitating sleepiness Tearing in one eye (assume this is due to Nuvigil) I am writing for my husband who suffered a stroke last November. Other than partial paralysis, he has had unremitting sleepiness which, unfortunately, seems to be getting worse. He started taking 150 mg of Nuvigil a month or more ago. The first 2 or 3 days were awesome. He was much more awake and able to do things he hadn't been able to do for a long time. Then everything shut down again. He tried halving the dosage, taking it twice a day. Then, with a neurologist's approval, even doubled the dosage. He is now taking 250 mg once a day but has had no apparent relief. We are even wondering if Nuvigil is making his sleepiness worse. We will see a sleep specialist later this month to see if he has any insight into this. In the meantime, my husband, who has enough problems trying to recover from the paralysis, has no life because he sleeps all the time. We're very disappointed that the Nuvigil isn't helping at all. M 74 30 days
250 1X day
7/13/2010
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 5  OSA and Circadian Rhythm Disorder Nausea, skin crawling, headache & irritability. Concerned because I didn't expect to have any side effects since I thought Provigil and Nuvigil were so similar from a chemical perspective. Took Provigil for 4 years prior to Nuvigil. I was on Provigil for 4 years & it profoundly changed my life. I am healthy but diagnosed with mixed sleep apnea and circadian rhythm disorder at 26-couldn’t wake in AM & had to be physically woken by co-workers. I was AD military instructor and fell asleep while teaching! I lost time, couldn’t think, moved in slow motion-lived in a fog. Still sleepy with CPAP-started Provigil200 and felt transformed. It reset my clock. Gave me life! 6 m after taking Provigil, I hit a wall at 2PM- extreme sudden tiredness-increased dose to 300/day-split. It helped but got headache & stopped feeling hunger-had to set alarm to eat after losing 30+ lbs. Medically retired from AF after 12 yrs. Last month Dr suggested Nuvigil250. First day was great. No wall & wakefulness was gradual, unlike Provigil. First night-thought bugs were crawling all over me and felt crazy! Next day I felt hungry and wanted to smoke-quit 6 yrs ago. Haven’t felt hungry in 4 years. Bug sensation stopped, but started clenching my jaw and chewing my cheeks, then came headache and irritability. That passed but 2 w after starting- nausea like clockwork-3-4 hrs after taking pill. Nothing will alleviate it. I hope it’s temporary-trying to decide what’s worse-this nausea and my sleepiness are debilitating. If it doesn’t improve I may have to go back on Provigil. Aside from the nausea, I think that Nuvigil is a great drug-an upgrade to Provigil. It is doing what it’s supp F 32 26 days
250 1X day
7/12/2010
 4  CFS dry mouth (really bad), a little jittery I started taking Nuvigil because I wanted to stop taking Adderall XR. I was on Adderall XR 20mg twice a day for the past couple of months, and althouh it helped tremendously at first, it has completely worn out my body over time. It was push & crash every day. I wasn't even getting the calm, happy, focused feeling anymore; just felt hyper and as if every cell in my body was vibrating. It freaked me out. Nuvigil helps in keeping me awake, but without the craziness of Adderall. The dry mouth is quite annoying; I feel as if I can't drink enough water. Have slight headaches as well but I've had those before. Would recommend in moderate dosage. (Works very well as jetlag remedy on long business trips with 10-14 hrs time difference!!) F 40 1 weeks
150mg 1X day
7/12/2010
 4  Narcelespy just a different feeling of anxiousness and the some tension in my jaw...energy(almost an over drive I was surprised to experience a difference after day one...IS THIS NORMAL? It felt like everything was clearer and brighter in my mind...felt like someone had cleaned all the smudges off my glasses...I had energy all day long and was engaged in conversations and took care of all the tasks of the day...The day actually felt longer and that I had "bonus" hours added to my day...53 and have just been diagnosed with the hassle of Narc...now maybe I can be more productive and not be dragging my ass through life! Thanks for all the R&D that goes into that pricely little pill that that can give you a new lease on life...ain't science great!!! M 53 2 days
150 1X day
7/11/2010
Email
 3  Falling asleep during day (sleep ap Itching, cant sleep at night First day was great (started ar 150 dose) then falling asleep during day. Increased to 250, didn't fall asleep during day but very nervous and couldn't sleep at night. Going to breakup dosage to see if that helps M 37 7 days
250 1X day
7/7/2010
 4  daytime sleepiness Tension in tongue, neck and back; mild headaches; increasingly severe burning and tearing caused by dry eye syndrome, which nuvigil and provigil seem to aggravate extremely. Like provigil, nuvigil has been a life-changing drug for daytime sleepiness and inertia; it enables me to be more alert and productive morning,afternoon and evening. I don't use it very often to stay awake longer than usual, but I have more energy when I am awake. I take an antidepressant as well, and the nuvigil seems to make it more effective - definitely has a positive effect on mood. UNFORTUNATELY, I have had to reduce my usage to nearly zero because it causes burning, watery eyes that make me miserable, and it is clearly related to my dosage of Nuvigil. I take it in very small doses only every few days, but it's always a tradeoff with eye discomfort. Maybe the company can find a way to prevent this.... M 64 10 months
100 mg 1X day
7/6/2010
Email
 3  Depression Sweating more than normal with anything physical.  Nervousness if I take it without food.  Minor Nausea.  Nuvigil 150 mg definitely wakes me up but does come with some baggage.  There are times when I feel a little paranoid or a little jittery and emotional. I have also lost about 8 or 9 pounds but this was during a time when we moved and I was doing a lot of physical activity. During the move, I would have excessive sweating during physical work. I would also have some rapid heart rate. I will prefice this by saying that I am a smoker and I have no doubt that the smoking could be contributing to the rapid heart rate as well. I have also had the urge to smoke more than I normally do. M 40 45 days
150mg 1X day
6/28/2010
 3  Depression Headache shortly after taking, Nausea several hours after taking, Agitation I'm hoping that the side effects will decrease with time. I'm going to take half a pill for awhile (psychiatrist said it was OK to do this) and see if that decreases the side effects. The only positive effect that I've seen so far is that I'm not sleeping so much. However, the agitation is keeping me from being more productive with my extra time awake. F 42 4 days
150 mg 1X day
6/27/2010
 3  ms / fatige nothing on the first day ,,,day two at 4pm my system went into overdrive....felt hot nurvous could not sit still.small headace should i use a half dose for a week ? M 54 2 days
150mg 1X day
6/26/2010
Email
 1  depression/cfs None yet!! Ihope I don't get any. I am a mom of 7 that is depressed andtired all the time.I hope this med works.I need to be able to have the muster to get out of bed.Body hurts allover,sweats,headaches,memory loss.I have ahd every test known to man!Nothing wrong with me.Blood tests,ekgs,ultrasounds,MRI,CAT scan,they can't find anything.I want to feel normal. F 35 1 days
150mg 1X day
6/18/2010
Email
 3   Very effective in keeping me awake and alert all day. Unfortunatly it also kept me awake most of the night. Experience -first day. M 73 1 days
1X day
6/10/2010
 3  Neuropathy & excessive sleepiness Horrid nightmares with intense sur-real feelings when waking up, acne break-out all over my back, difficulty sleeping thru the night, jittery, nausea & loss of appetite. 47yo male that was given Nuvigil by my Neurologist treating me for continued nerve entrapment pain and assist with treating the feeling sleepy/tired all day long from taking Lyrica, Fentanyl Patch and Oxycotin for the management of the pain caused by the nerve entrapment. He has done a couple radiographs with cool water laser and the pain remains constant. The challenge has been I suffer from TIA and have to remain on Plavix; and stopping the Plavix days before surgery and then re-starting it each time has increased the frequency of small TIA attacks. Thus, I'm living with this daily pain because I don't want to increase the risk of having another TIA attack. I also take Wellbutrin-XL and Buspar daily for anxiety and depression. Getting the Nuvigil approved thru my insurance was more complicated than moving a mountain. Finally got it approved but concerned with the side effects and if they will lessen in the long run. If anyone has been taking this medication while treating nerve pain and depression at the same time, I would really appreciate feed back and insight to what you may have experienced. I'm trying to decide if continuing this medication is beneficial in the long run while dealing with the side effects mentioned above. One of the posts from another person mirrors my description of taking the Nuvigil--it's like taking an approved form of crack or strong dose of some stimulant. Any comments and/or suggestions would be greatly appreciated! M 47 5 days
250mg 1X day
6/6/2010
 2  Shift work sleep disorder Overwhelming need to suck or chew, jumpy, moody, nauseated I tried Provigil, and I loved it! I have to play the insurance companies games, though; try and fail Nuvigil prior to using Provigil. I acted like a junkie. I kept licking my front teeth and chewing my tongue. I was paranoid and jumpy- I kept thinking people were sneaking up on me. I was itchy. I had waves of nausea, and couldn't get to sleep. I woke up this morning with a huge headache, and have no intention of taking the "legal crack" again. F 34 2 days
150mg 1X day
5/29/2010
 5  Fibromyalgia - Extreme Fatigue Hard to fall asleep at night Been on Provigil 200mg twice a day for over a year & it helped tremendously for a while, but found it wasn't as effective as it had been. Instead of increasing dose (and because there was a great offer to cover $50 of the co-pay for Nuvigil), I started Nuvigil this week & can say that I haven't felt this productive (work & home) in 2-3 years. Hope I don't get any side-effects, because I'm loving being the person I remember being! F 37 4 days
150 1X day
5/27/2010
 2  chronic fatigue w/fibromyalgia increased fatigue; dozing off at work; severe dry mouth & dry eyes Nuvigil was prescribed to me because I am on shift work and have a hard time staying awake. I am usually unable to function without taking a nap every day. The first few weeks I took Nuvigil, I didn't notice much of a difference in the way I felt but after taking it for approximately a month, I feel it is making me feel even more tired. I have slept through my alarm clock several times recently; something I have never done before. I do not feel this medication is working for me as intended. M 36 1 months
150mg 1X day
5/23/2010
Email
 1  Fibromyalgia/exhaustion Day 2: I felt anxious so I started taking 1/2 tablet (125 mg). Day 7: Awoke with severe nauseau, vomiting, shivers, feeling like I was dying. I'm not trying to be overdramatic here, but I felt like this med was poisoning me. It is now day 3 since I stopped taking it, and I'm still as sick as 3 days ago. I can hardly keep anything down. I am so depressed because this med was supposed to increase my energy. I'm now looking at being sicker than ever for at least 4 days. How am I supposed to be able to hold down a job when meds make me so sick? Please email if you have any encouraging words. F 53 7 days
250 mg 1X day
5/23/2010
Email
 3   None I had been on provigil 200mg twice a day and it really helped keep me awake. My doctor (a shrink) told me I probably had narcolepsy although no formal testing or sleep study was done. Last week he put me on Nuvigil 250mg one in the morning but it is not as effective as provigil. M 59 8 days
1X day
5/4/2010
Email

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