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Workplace Health

Overtime Pill: The Rest is History?


Author:

Karen Barrow

Medically Reviewed On: August 05, 2005

"While [Provigil] is modestly helpful in keeping people awake, the correct management of the disorder would include keeping to a set sleep schedule even on the weekends, having bright lights at work and practicing safe driving," said Dr. Thomas Scammell, associate professor of neurology at Beth Israel Deaconess Medical Center at Harvard University.

Everyone Could Use a Little Pep
The warning on the label clearly states that Provigil is not a substitute for sleep, yet the U.S. Military has already tested how long they can keep soldiers awake without detrimental side effects. So far, they have found that soldiers on Provigil can function for up to 88 hours without sleep.

The drug should help soldiers who need to stay alert on the battlefield and emergency room doctors who work 12-hour shifts. But what about the mom who feels like she needs a few more hours in the day?

The curious thing about a drug that enhances alertness is that it seems like everyone could use a dose or two now and then.

"My understanding is that the three approved uses, [narcolepsy, sleep apnea and SWSD] only account for 50 percent of the prescriptions," said Dr. Scammell.

Provigil is now being studied for use in helping those with Alzheimer's disease, attention deficit disorder, schizophrenia and depression to maintain focus and alertness. And while studies have been inconclusive, it is also being given to energize those fatigued from multiple sclerosis and HIV. It's even being used to counteract the terrible inconvenience of jet lag, drowsiness after anesthesia and the grogginess associated with many drugs.

Although it may have legitimate uses, there would seemingly be a high possibility for abuse of this drug by overachievers and go-getters looking for another way to get their job done and then some. While the FDA includes a warning on the label that the drug has a potential for addiction, many doctors prescribing Provigil believe the risk for abuse is small. The drug only stimulates a small region of the brain, so it doesn't give you the high that is associated with other abused uppers like amphetamines.

"It just isn't showing up as a street drug," said Dr. Scammell. "There's really not much of a buzz to it." Even so, the ability to get that term paper finished or to pick up extra overtime at work could turn out to be a hard habit to break.

"There you are talking about people who want to stay up even when their body is telling them to go to sleep," said Dr. Scammell. "That can be seen as a form of abuse—abusing your body. But it's one that's tolerated in society."

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