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Provigil, Insomnia and Sleep Satisfaction

Sleep-associated motor symptoms may contribute to sleep problems, although they found insufficient data to demonstrate improvements in objective sleep parameters or sleep satisfaction. They also concluded that levodopa-carbidopa probably decreases the frequency of spontaneous nighttime leg movements.

For excessive daytime somnolence, the researchers cited 2 class I studies that found that Provigil improved subjective symptoms using the Epworth Sleepiness Score, whereas a third found some subjective improvement. However, some studies found no objective improvement.

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Provigil and Treatment of Fatigue

Patients with partial response to anti-depressant therapy given for at least a 6-week period for a current major depressive episode (DSM-IV criteria) were enrolled in this 6-week, randomized, double-blind, placebo-controlled, parallel-group, multicenter study.

Patients received once-daily doses (100-400 mg) of Provigil or matching placebo as adjunct treatment to ongoing antidepressant therapy. The effects of Provigil were evaluated using the Hamilton Rating Scale for Depression (HAM-D), the Fatigue Severity Scale (FSS), the Epworth Sleepiness Scale (ESS), the Clinical Global Impression of Change (CGI-C), and the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Adverse events were monitored throughout the study.

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Signs and Symptoms of Narcolepsy

Narcolepsy often is undiagnosed or misdiagnosed for a variety of reasons. Although confirmation of an initial diagnosis requires monitoring of physiologic variables conducted at a sleep center by specialists, the primary care physician has a critical role in the identification and management of this incurable affliction.

This article provides recommendations for the diagnosis and management of narcolepsy. The cataplexy associated with narcolepsy can be managed with tricyclic antidepressants.

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Generic Version of Provigil

Watson of Corona, Calif., was one of five generic drug companies that entered into business deals with Cephalon that the FTC says delayed the introduction of a generic version of Cephalon’s sleep disorder drug Provigil. Provigil is approved by the Food and Drug Administration as a treatment for excessive sleepiness associated with sleep apnea, shift work sleep disorder and narcolepsy.

The FTC filed an antitrust lawsuit against Cephalon last year challenging the Provigil deals. That litigation is ongoing.

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