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asked:
Do you ever prescribe Ritalin/Adderall for excessive daytime sleepiness? Just curious how common a practice it is, because before my psychiatrist prescribed it for me I didn't know that was a legitimate reason to give stimulants.
answered:
I’ve never done it, and I’d be reluctant to unless I’d done a really good job trying to find the source of the sleepiness (did someone screen you for sleep apnea?)
Even if I had to do something like this, I would probably try Wellbutrin or modafinil, on general “don’t prescribe Adderall if you can avoid it” principles, which I admit are not very scientifically backed.
Regarding Adderall specifically, there is some evidence to indicate it can be damaging to nerve cell terminals, but I don’t have it on hand at the moment. Some detailed post on Quora went over it. The risk profile of Ritalin appears lower. If you message me later, I may be able to find the link.