Wakefulness Without the Amphetamine Rush: Provigil, Nuvigil & Sunosi for ADHD – By Mark Agresti, MD Provigil (modafinil), Nuvigil (armodafinil), and Sunosi (solriamfetol) are the quiet heroes of adult ADHD. They don’t jack up dopamine like Ritalin or Adderall. They don’t make you wired, twitchy, or crash by lunch. Instead, they hand you clarity—one smooth neurotransmitter at a time. Provigil and Nuvigil? They nudge histamine, wake up orexin neurons, and let glutamate hum without drama. The result: 12-15 hours of steady focus, no jitters. Sunosi? Straight to norepinephrine and dopamine reuptake—just enough to stay sharp, not enough to get hooked. Perfect if you’ve bounced off amphetamines, need to fly internationally, or simply want to think without the rollercoaster. Now picture this: you’re not in some fluorescent clinic. You’re in my office in Palm Beach, Florida—waves crashing across the street, the Breakers glowing in the distance. I hand you my cell phone number before you leave. That’s not a typo. Every patient gets it. I’ll text you at ten at night if you’re struggling to sleep on modafinil. We’ll tweak your dose, add CBT, swap supplements—whatever works. My practice—Mark G. Agresti, MD, LLC—sits right on the line between West Palm and Palm Beach, so South Florida families know where to come when they want real treatment, not assembly-line scripts. But I don’t stop there. Telemedicine means I’ll follow you to Seattle, Austin, New York—anywhere you move. You stay on the plan. No restarts. No gaps. Out-of-the-box? I’ll prescribe Provigil off-label for ADHD if data says it helps you. I’ll layer it with Sunosi when travel hits. I’ll ditch the schedule-II red tape and still keep you safe. Because ADHD isn’t one size fits all—and neither is my approach. Visit drmarkagresti.com. Read the reviews. Book the call. If you’re tired of feeling tired, or wired then wiped, let’s fix it—quietly, effectively, personally. #AdultADHD #NonStimulantADHD #ProvigilADHD #NuvigilArmodafinil #SunosiSolriamfetol #ModafinilMechanism #HistamineWakefulness #DopamineReuptake #PalmBeachPsychiatrist #WestPalmBeachDoctor #TelemedicineADHD #OutOfTheBoxPsychiatry #PersonalizedTreatment #ADHDWithoutCrash #MarkAgrestiMD