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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Ways To Wean Off Modafinil

Hello, I have been taking 600 mg. of Modafinil every morning for approximately 6mos. and I am having a great deal of vision issues. I just had an exam today and the changes were surprising. My Dr. feels it may be this drug. Can I stop it abruptly? I can t even drive at night right now.
Fri, 8 Jan 2016
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General & Family Physician,  's  Response
If you have determined to stop this addiction you have won the war against addiction. If i have to treat such a patient i will advice to tapper the tab modafinil from 600 to 500, to 400 ,to 300 to 200, to 100 at weekly intervals, with in one and half months you can stop it. Now start tappering and add tab mirtazepine 15 mg before sleep.increase the dose of mitazepine weekly by 15mg to maximum 60 mg if required you may add tab bupropion three times a day. Get your Bp checked and treated if required.If psychotic changes are experienced i will advice tab haloperidol.Have good diet, regular excercise and plenty of fluids.
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Suggest Ways To Wean Off Modafinil

If you have determined to stop this addiction you have won the war against addiction. If i have to treat such a patient i will advice to tapper the tab modafinil from 600 to 500, to 400 ,to 300 to 200, to 100 at weekly intervals, with in one and half months you can stop it. Now start tappering and add tab mirtazepine 15 mg before sleep.increase the dose of mitazepine weekly by 15mg to maximum 60 mg if required you may add tab bupropion three times a day. Get your Bp checked and treated if required.If psychotic changes are experienced i will advice tab haloperidol.Have good diet, regular excercise and plenty of fluids.