I am a bit baffled and confused about your reluctance to take opiate based pain meds. Are you concerned about the tiredness and fatigue that you have previously experienced taking them? or the light headness and spacy unable to concentrate feeling that you described? Most of these things are just temporary until the person is used to and adjusted to taking these type of meds. Every one reacts differently to pain meds, and just because you have a certain reaction to one type of opiate based pain med, does not mean you will have that same type of reaction to all of them. As an example, for me, hydrocodone based pain meds often are not very effective, and to get a dose that is effective for relieving my pain, I have to take allot of it, and then it makes me feel dopey and spaced out, which is a feeling that I hate! But if I am given pain meds that are oxycodone based they are very effective and I get no drugged out spacey tired feeling while taking them, all they do is relieve the pain for me. Before being put on Oxycontin I had been taking Vicodin and Vicoprofen I had to take allot of them to effectively relieve my pain, and they made me so groggy and spacey and drugged out, and I just hated that feeling, I would rather have the pain!!! . The Oxycontin was totally different, all it did was relieve my pain and that is it! No excessive tiredness or fatigue or spacey, loopy or drugged out feeling. Now I know everyone is different, but the thing I am getting at is, if one certain type of opiate based pain meds have a negative affect on you, why not try some other type of opiate based pain med, and see if it works? There are many different types, and I would think maybe at least one of them might just be the thing you need??? Just something to think about??? Personally I would be a little leery about trying provigil, as that also has its own set of problems, I have known people on it and it often loses its effectiveness rather quickly and then has to be increased. I have not heard of it being used to relieve pain??? I know it is primarily used to combat fatigue and excessive tiredness.
I do wish you well and hope you find relief! Good Luck to you!
Moderator Chronic Pain
After spending nearly 22 1/2 years in the USAF, I retired in Sept, 1991. I then went back to school and became a licensed RN in 1994, and I worked on Oncology and then a Med Surg Unit, I became disabled in late 1999 and was approved SSD in early 2002!-- DDD, With herniated Disk at T-12 and L4-5. C5-C6 ACDF in Sep 2009, C6-C7 ACDF in Mar 1985, Osteoarthritis, Ulcerative colitis, Chronic Pain, Fibromyalgia, Complex Sleep Apnea, and host of other things to spice up my life!(NOT!) Medications:Oxycontin, Percocet, Baclofen, Sulfasalazine, Metoprolol, Folic Acid, Supplemental O2 at 3lpm with VPAP Adapt SV I am White Beard with a White Beard!