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<p>[QUOTE=&quot;Anonymous, post: 917158&quot;]Provigil is not for true laziness. I am guessing and hoping really that person who posted the comment about&nbsp; how&nbsp; Rxing Provigil for being laziness is unethical, is not a doctor or CRNP or PA.&nbsp;&nbsp; Alot of people(not all) who can&#039;t get off the couch are not lazy at all.&nbsp; They may have a real medical condition that results in an overwhelming sleepiness. Like OSA or SWSD. Keep this in mind: for the average narcoleptic to be diagnosed it takes 8 to 14 years because some people attribute a severe bone crushing fatgiue as laziness. 80 to 90 % of people with obstructive sleep apnea are also undiagnosed and often thought of as being (cruely) fat and lazy.&nbsp; Bottom line is that there are less true lazy people out there then perception. Most people that are considered&quot;lazy&quot; actually have an undiagnosed sleep disorder and therfore are not treated because the fP is o treconizing the slee disorder. over 50 years ago people with depression were considered just weak and if they got a back bone, they could get out of their funk. People believed depression was the fault of the person with the symptoms and the disease was thoguth of as made up.&nbsp; We told them to get over it already . Go to church and pray, exercise ect. It is just a matter of time before the general public and medical professionals start to accept that excessive sleepiness is real and has major consequences if not treated. A full medcial HX should be taken and a DX sould be given before a RX of Provigil is made. If you are a provider and your patient is truley lazy then by all means do not give them Provigil. If you do a complete HX and find nothing, send them for a sleep study.&nbsp; If after all the studies the paitent truely is lazy then do not RX Provigil. There are more legitimate reasons to RX it then not. If Sleep was no tso important then Ambiana and Lunesta and other drugs would be total bombs. Of course getting good quality sleep and the right amount is the perfect anwser there. Labeling someone as lazy who really truely has a medical condtion causing the symptoms is just closed minded and I hope a full medical Hx would be taken and analyzed before the decision that the patient is just plain lazy is made. I think that is unethical!!!!!![/QUOTE]</p><p><br /></p>

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