modafinil for hyper POTS

[Pistol]

Hi - I have been taking Ritalin for POTS related fatigue with good results. Lately - due to a triggered event - I had to start from scratch with reconditioning and the fatigue is much worse. My Doc recommended switching to Modafinil but it is not covered by my insurance. Has anybody experienced a big different between the two? Does anyone take Modafinil? --- I appreciate any Input - Thanks

[ramakentesh]

I found that modafinil stimulated beta receptors (enhanced tachycardia) without any improvement to energy levels or vasoconstriction. Ritalin and Concerta are far better tolerated and helpful medications in my opinion.

[Mikey]

Hi guys  I actually just got diagnosed with POTS last year. My doctor gave me methlyphendiate 5mg. From your experiences does methlyphendiate make your tachycardia or lightheadedness worse?

Also do you take a beta-blocker along with the stimulate?

Thanks

[Pistol]

@Mikey - I take Carvelidol ( Beta-blocker ) as well as Diltiazem along with the Ritalin, plus several other meds. For me the Ritalin never affected my Tachycardia and did not make me dizzy or lightheaded. Some people do not tolerate beta's but for me they are necessary. Although I had problems with some other ones. 

[Mikey]

@Pistol Thanks. In the past Ive had a little tachycardia with stimulates at higher doses but I think the carvelidol will help keep it under control. Do you take the carvelidol before the stimulate or vice versa