i have just learned of a drug that can be prescribed for exhaustion. it is for narclepsy but i was told that they are starting to use it on fm patients, too. here's some info: What is PROVIGIL? PROVIGIL is a novel, wake-promoting drug... Improves wakefulness in patients with excessive daytime sleepiness (EDS) associated with narcolepsy. Promotes daytime wakefulness without affecting nighttime sleep. Improves patients ability to participate in daily activities. Generally well tolerated, adverse events were mild to moderate in clinical trials. Convenient once-daily dosing. Phone-in prescriptions and refills permitted. Clinical Efficacy and Safety PROVIGIL promotes daytime wakefulness without affecting nighttime sleep1,2 PROVIGIL efficacy established, objectively and subjectively, in the two largest Phase 3 trials ever conducted in patients with narcolepsy. PROVIGIL improves patients' ability to stay awake and participate in daily activities. PROVIGIL does not interfere with nighttime sleep architecture or with patients ability to fall asleep when needed.1 PROVIGIL has a proven safety profile 3,4 PROVIGIL promotes daytime wakefulness without affecting nighttime sleep1,2 PROVIGIL is generally well tolerated. Long-term safety has been established for up to 136 weeks in open-label studies.4 Most frequently reported adverse events were headache, nausea, nervousness, anxiety, infection and insomnia. Most adverse events were mild to moderate. PROVIGIL may interact with drugs that inhibit, induce or are metabolized by cytochrome P450 isoenzymes. No clinically relevant changes in blood pressure or heart rate in normotensive patients. Convenient once-a-day dosing PROVIGIL promotes daytime wakefulness without affecting nighttime sleep1,2 PROVIGIL provides the convenience of once-daily dosing. The recommended dose for PROVIGIL is 200 mg taken orally once daily in the morning. PROVIGIL doses 200 mg and 400 mg QD, were shown to be effective compared to placebo. PROVIGIL is easy to prescribe PROVIGIL promotes daytime wakefulness without affecting nighttime sleep1,2 Written and phone-in prescriptions are permitted. Refills are permitted. No triplicate or multiple prescriptions are required. References: 1. US Modafinil in Narcolepsy Multicenter Study Group. Randomized trial of modafinil for the treatment of pathological somnolence in narcolepsy. Ann Neurol. 1998;43:88-97. 2. US Modafinil in Narcolepsy Multicenter Study Group. Randomized trial of modafinil as a treatment for the excessive daytime somnolence in narcolepsy. Neurology. 2000;54:1166-1175. 3. PROVIGIL full prescribing information. 4. Data on file. Cephalon, Inc. FOR MORE INFORMATION ABOUT PROVIGIL PLEASE SEE FULL PRESCRIBING INFORMATION OR CONTACT CEPHALON PROFESSIONAL SERVICES AT 1-800-896-5855 PROVIGIL is indicated to improve wakefulness in patients with excessive daytime sleepiness associated with narcolepsy.