I have tried a range of medications to treat depression, especially the lack of energy that has been impairing my functioning and leading to suicidal thinking. Finally, we decided to try Provigil, which I had been on previously for 6 years with good results. It worked within 2 days so then we had to get approval from insurance since it is not indicated for this use and is outrageously expensive (27$ per pill). We held our breath and the verdict was that it was approved indefinitely. I am so relieved.

I am writing partly to spread the word that this medication can really be effective, but also to see if anyone else has tried it or knows about it. Although I've seen a decreased need to sleep and a brightening of outlook, I haven't yet felt an increase of energy. I'm able to focus and concentrate for longer periods so definitely more alert and more interested in doing things, but not really feeling like being more physically active. Perhaps it takes time for that to happen.

I'm also taking Wellbutrin and wonder now if I should be taking both. I don't want to overdo it. I'm not bipolar but have had a manic episode induced by anti-depressant (over) medication. My shrink doesn't seem to want me off of it, but he is of course on the look out for any signs that might indicate too high elevation of mood.