Clinical Update

The Modafinils in Bipolar Depression

Topics: ArModafinil | Bipolar Disorder | Borderline Personality Disorder | BPD | Modafinil | Novel Medications | Nuvigil | Personality Disorders | Provigil | Psychopharmacology

Your patient has recovered enough from bipolar depression to leave the hospital, but not enough to return to work. He is inactive, he can’t concentrate, and it takes him 4 hours to wake up in the morning. What can you add to his regimen of lithium, lamotrigine, and lurasidone? Modafinil (Provigil) and armodafinil (Nuvigil) are wakefulness-promoting

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