I had excessive daytime sleepiness & take Provigil. Have been on it about 12 yrs. & couldn't imagine life without it. Also have low thyroid & pernicious anemia; both cause tiredness. So take medication for thyroid & monthly B-12 shots for pernicious anemia.

But my meds for bipolar also contribute to the sleepiness & low motivation so the Provigil is great. My meds provider did send documentation to my ins. co. as they didn't want to pay for it at first (used for narcolepsy). But my provider sent articles that are showing documentation that it is helpful for bipolar & to help w/side effects of meds.