saw2112

Hi Kat, I don't know about causing it, but hands down every BCP I've ever used in the past - until now - has made my orthostatic episodes and other neurologic symptoms worse. I'm currently on LoLoestrin. It's the only one that hasn't. - Sarah

Gertie, although my liver is not enlarged, it has been found to be very fatty. Fatty liver can eventually lead to more serious liver issues. Are your liver function tests normal or abnormal? If they are normal than it's much less likely to be something you need to worry about.

Hi Kathy, Yes, I have had this happen to me as well. I accidentally found that cutting down my dose or stopping for a few days and then going back to it helped make it more effective afterwards. It took a few weeks to see this effect though. As Sarah suggested, there is also Nuvigil. Nuvigil is the exact same drug as Provigil, except that it is longer acting. I actually had to switch from Nuvigil to Provigil because on the Nuvigil I could go days without feeling the need to sleep. Provigil has been better for me, in that it is shorter acting. In terms of other stimulants, my doctor recently discussed other options with me including Ritalin and Adderal; however, the risk of tachycardia is much greater with these than Provigil or Nuvigil. So you will need to talk to your cardiologist first. Also, my doctor suggested that adding Xyrem at night would give me better night-time sleep and might help make the Provigil more effective at reducing daytime fatigue. That may be something you want to ask about as well. ~ Sarah