Providgil for stroke pts
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This is a discussion on Providgil for stroke pts in Neurological Nursing, part of Nursing Specialties ... I've seen some docs prescribe Providgil in the hospital for stroke pts to stimulate them during...
by hodgieRN Nov 7, '12I've seen some docs prescribe Providgil in the hospital for stroke pts to stimulate them during waking hrs. I'm seeing this more and more. You think this is effective? Has anyone seen other stimulates used to mimic daytime circadian rhythms? At my hospital, this practice depends on certain docs, but I think more pts could benefit from it.Your thoughts....
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Nov 7, '12 by Boog'sRN246I work in inpatient rehab and both of our physiatrists prescribe Providgil for post-stroke patients, as well as Ritalin and sometimes Zoloft. Ritalin is used the most often and I've seen a good result with it. -
Nov 8, '12 by amoLuciaI've seen aricept used similarly - for TBI. But no exposure to provigil usage. - Nov 9, '12 by blueheavenRitalin is often given because it is MUCH cheaper than Provigil or it's sister med Nuvigil. Both of these meds are used for (off label) ADD, also for daytime sleepiness in those who have OSA, and those who work crazy shifts. Used by the military to promote alertness in troops. It's a neurostimulant but does not work the same way as amphetamines or ritalin. The patients that I've cared for have been on ritalin.
Personally, I take Nuvigil and even with insurance, it's really expensive. It works quite well for me and I'm still able to sleep when I get home from work. I have ADD and OSA that requires CPAP so my med kinda takes care of both problens. - Nov 10, '12 by hodgieRNAhh...so you guys use Ritalin too? That's interesting! We only use Provigil, but there's only like 2 doctors that do it in the ICU. So, it seems more widely used inpatient rehab. Thanks!
