I work at amazon long shifts as a picker i keep getting so tired i feel like falling asleep standing up someone recommended something called nuvigil or provigil for shift work it sounded like it would work well for me what should i do to get on this?

Drugs: Before moving to drugs it is advisable to get a diagnosis. Best would be to establish with a local doc, talk about your symptoms, have a physical exam and having tests done that will prove a diagnosis. A prescription will be in place once a clear plan is delineated.

Assessment: Agree with Dr. Pasniciuc. Provigil is a "big gun" medication for staying awake. Normally one would need to be worked up with an appropriate diagnosis before this can be prescribed.