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pdf23ds comments on Modeling sleep patterns - Less Wrong
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"I find it impossible to wake up at a consistent time every day (+/- 8 hours), despite years of trying"
In other words, I've tried everything else.
How about Modafinil or a similar drug? It is prescribed for narcolepsy. More generally, can I safely assume that "everything" includes having talked to your doctor about how serious these symptoms are?
I suppose I could shop around for a doctor willing to prescribe modafinil for my sort of sleep problems. I have thought of trying it in the past, but that's pretty far off-label.
"Everything" includes having read all current medical literature, which all says that severe circadian rhythm disorders are basically untreatable, and having one sleep doctor basically give up. I could also try more sleep doctors, I suppose.
It doesn't sound unreasonable to me given the severity of your symptoms. But I'm not a sleep doctor.
Consider also that there are other ways to procure drugs like this, i.e., shady online vendors from overseas. Just make sure you do your research on the vendors first. There are people who have ordered various drugs from these vendors, chemically verified that the drugs were in fact what they were advertised to be, and then posted their results in various places online for the benefit of others. Bottom line: some companies are more trustworthy than others--do your homework. And obviously you should exercise due caution when taking a new drug without a doctor's consent.
Do it. Even if your underlying condition is incurable some of the symptoms can be managed. And Modafinil is outright brilliant for managing fatigue and supplying wakefulness.
Compared to the most prominent usages of modafinil (performance enhancement) your usage would be pretty damn close to the label all things considered. But forget the label. Tell the doctor whatever is convenient to make him sign stuff for you. (You do keep your doctors separate, right? The ones who give you actual useful advice and the ones you use as gatekeepers to the system. Lie to the latter.)