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Cincinnati, OH
A 40-year-old female asked:

Doc can't scribe ritalin (methylphenidate) for fatigue due to sarcoidosis anymore. what are some other medication options?

2 doctor answers5 doctors weighed in
Dr. Yale Kanter
Ophthalmology 62 years experience
Fatigue: Methylphenidate has been used for the treatment of fatigue in patients with cancer,4HIV infection,5and chronic fatigue syndrome.6In an open-label trial,7 methylphenidate was reported as useful for fatigue associated with sarcoidosis. Dexmethylphenidate hydrochloride (d-MPH) is the d-threo-methylphenidate hydrochloride isomer of methylphenidate. It is approximately twice as potent as the racemic formulation and appears to have a longer half-life; hence, it can be administered twice daily
Dr. Thomas Namey
Rheumatology 49 years experience
Easy and better!: Provigil (modafinil) and Nuvigil (R-modafinal) will work better! They will solve your problem and are not schedule 2 drugs!
Dr. Yale Kanter
Dr. Yale Kanter commented
Ophthalmology 62 years experience
I try never to be dogmatic or adamant, but it certainly would be worth a try.
Mar 13, 2015
Last updated Apr 3, 2017


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