AdministratorJune 8, 2021 at 12:53 pm
Hi Amelia. I agree with your plan of collaborating with sleep medicine before doing any changes.
Since patient is on higher Armodafinil dose of 500 mg (with max of 250 mg recommended for narcolepsy): I agree with tapering armodafinil and increasing methylphenidate (in collaboration with sleep medicine). This approach is safer compared to increasing methylphenidate on this high dose of armodafinil.
Keep us posted on the patient progress.