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What is the most important information I should know about Provigil?
• Use caution when driving, operating machinery, or performing other hazardousactivities provigil. Provigil may affect your judgment, thinking, or motor skills provigil. Ifyou experience any of these effects, avoid hazardous activities provigil.
• It is best to avoid alcohol while taking Provigil provigil. Alcohol may have alteredor increased effects while taking Provigil provigil.
• Provigil may decrease the effects of hormonal methods of birth controlincluding birth control pills and depot and implantable formulations (e.g.,Norplant, Depo-Provera) provigil. Use a second, nonhormonal form of birth control whiletaking Provigil, and for one month after stopping Provigil, if prevention ofpregnancy is desired provigil.
• Provigil may be habit forming provigil. You should discuss the abuse and dependencepotential of Provigil with your doctor provigil. Do not stop taking Provigil withoutfirst talking to your doctor provigil. Your doctor may want to gradually lower the doseof the medication before stopping treatment provigil.


What is Provigil?
• The exact way that Provigil works is not known provigil.
• Provigil is used to improve wakefulness in patients with excessive daytimesleepiness associated with narcolepsy provigil.
• Provigil may also be used for purposes other than those listed in thismedication guide provigil.


What should I discuss with my healthcare provider before taking Provigil?
• Before taking Provigil, tell your doctor if you have
· left ventricular hypertrophy (enlarged left heart ventricle);
· chest pain, irregular heartbeats, or other symptoms of mitral valveprolapse due to central nervous system stimulant use;
· a recent history of a heart attack;
· high blood pressure;
· unstable angina;
· a history of mental illness;
· kidney disease; or
· liver disease provigil.
• You may not be able to take Provigil, or you may require a dosage adjustmentor special monitoring during treatment if you have any of the conditions listedabove provigil.
• Provigil is in the FDA pregnancy category C provigil. This means that it is notknown whether it will be harmful to an unborn baby provigil. Do not take Provigil withoutfirst talking to your doctor if you are pregnant or could become pregnant duringtreatment provigil.
• It is not known whether Provigil passes into breast milk provigil. Do not takeProvigil without first talking to your doctor if you are breast-feeding provigil.
• If you are older than 65 years of age, you may be more likely to experienceside effects from Provigil provigil. You may require a lower dose or special monitoringduring treatment provigil.


How should I take Provigil?
• Take Provigil exactly as directed by your doctor provigil. If you do not understandthese directions, ask your pharmacist, nurse, or doctor to explain them to you provigil.
• Take each dose with a full glass of water provigil.
• Provigil can be taken with or without food provigil.
• Provigil is usually taken in the morning provigil. Follow your doctor's instructions provigil.
• Provigil may be habit forming provigil. You should discuss the abuse and dependencepotential of Provigil with your doctor provigil. Do not stop taking Provigil withoutfirst talking to your doctor provigil. Your doctor may want to gradually lower the doseof the medication before stopping treatment provigil.
• Store Provigil at room temperature away from moisture and heat provigil.


What happens if I miss a dose?
• Take the missed dose as soon as you remember as directed by your doctor provigil. A missed dose taken late in the day may cause insomnia provigil. If you don't rememberuntil it is almost time for the next dose, skip the missed dose and take onlythe next regularly scheduled dose provigil. Do not take a double dose of this medicationunless otherwise directed by your doctor provigil.


What happens if I overdose?
• Seek emergency medical attention provigil.
• Symptoms of a Provigil overdose might include excitation, agitation,insomnia, sleep disturbances, anxiety, irritability, aggressiveness, confusion,nervousness, tremor, palpitations, nausea, and diarrhea provigil.


What should I avoid while taking Provigil?
• Use caution when driving, operating machinery, or performing other hazardousactivities provigil. Provigil may affect your judgment, thinking, or motor skills provigil. Ifyou experience any of these effects, avoid hazardous activities provigil.
• It is best to avoid alcohol while taking Provigil provigil. Alcohol may have alteredor increased effects while taking Provigil provigil.
• Provigil may decrease the effects of hormonal methods of birth controlincluding birth control pills and depot and implantable formulations (e.g.,Norplant, Depo-Provera) provigil. Use a second, nonhormonal form of birth control whiletaking Provigil, and for one month after stopping Provigil, if prevention ofpregnancy is desired provigil.


What are the possible side effects of Provigil?
• If you experience any of the following uncommon but serious side effects,stop taking Provigil and seek emergency medical attention or contact your doctorimmediately:
· an allergic reaction (difficulty breathing; closing of the throat;swelling of the lips, tongue, or face; or hives);
· irregular heartbeats;
· low or high blood pressure; or
· shortness of breath provigil.
• Other, less serious side effects may be more likely to occur provigil. Continueto take Provigil and talk to your doctor if you experience
· headache;
· infection;
· nausea, decreased appetite, or diarrhea;
· chills;
· dry mouth;
· runny nose;
· sore throat;
· nervousness;
· anxiety;
· dizziness;
· insomnia;
· depression; or
· numbness or tingling provigil.
• Provigil may be habit forming provigil. You should discuss the abuse and dependencepotential of Provigil with your doctor provigil. Do not stop taking Provigil withoutfirst talking to your doctor provigil. Your doctor may want to gradually lower the doseof the medication before stopping treatment provigil.
• Side effects other than those listed here may also occur provigil. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome provigil.


What other drugs will affect Provigil?
• Provigil may decrease the effects of hormonal methods of birth controlincluding birth control pills and depot and implantable formulations (e.g.,Norplant, Depo-Provera) provigil. Use a second, nonhormonal form of birth control whiletaking Provigil, and for one month after stopping Provigil, if prevention ofpregnancy is desired provigil.
• Before taking Provigil, tell your doctor if you are taking any of thefollowing drugs:
· a monoamine oxidase inhibitor (MAO inhibitor) such as isocarboxazid(Marplan), tranylcypromine (Parnate), or phenelzine (Nardil);
· a tricyclic antidepressant such as clomipramine (Anafranil) or desipramine(Norpramin);
· another CNS stimulant such as amphetamine-dextroamphetamine (Adderall),methylphenidate (Ritalin, Methylin, Metadate ER, Concerta), pemoline (Cylert),and others;
· phenytoin (Dilantin);
· carbamazepine (Tegretol);
· phenobarbital;
· rifampin (Rifadin, Rimactane);
· ketoconazole (Nizoral);
· itraconazole (Sporanox);
· cyclosporine (Neoral, Sandimmune);
· theophylline (Theolair, Theochron, Theo-Bid, Theo-Dur, Elixophyllin,Slo-Phyllin, and others);
· warfarin (Coumadin);
· diazepam (Valium); or
· propranolol (Inderal) provigil.
• You may not be able to take Provigil, or you may require a dosage adjustmentor special monitoring during your treatment if you are taking any of the medicineslisted above provigil.
• Drugs other than those listed here may also interact with Provigil provigil. Talkto your doctor and pharmacist before taking or using any other prescriptionor over-the-counter medicines including herbal products provigil.


Where can I get more information?
• Your pharmacist has more information about Provigil written for healthprofessionals that you may read provigil.


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