Well . . I broke down and spent $270 for the Provigil last week! My husband was the one pushing as he's noticed a reall difference when I'm on it. The doctor ordered the 200 mg for me. I started it last Friday and have split the tab into 1/2 to take 100 mg to see if I can spread out the cost a bit over 2 months. Again, the medication seems to rid me of that horrible "I could go to sleep and not wake up feeling" . . That overwhelming fatigue feeling, etc. Again, my husband is the first to notice a difference. And again, I feel more like I'm alive! I have not had trouble going to sleep at night either like I had anticipated. I'm still taking the Neurontin, Celexa, and the Ultracet. The aches and pains are still there, but let me tell all of you, I can tolerate that much more than the overwhelming fatigue! I will continue to let you all know how the Provigil keeps or doesn't keep working. I only wish that my insurance would have covered the medication! That's soooooo much money!