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You may already know this, but Pitolisant is a new non-stimulant medication that could be helpful.

People either love it or find that it does nothing for them, so don’t get your hopes up too high. However, for patients who respond it seems to be a great improvement. Be warned that it can take a long time for the positive effects to appear. Unlike stimulants that work well on the first day and decline over the subsequent months/years, it seems to do very little or have uncomfortable side effects on the first few days and then reveal the positives after a month.

And FYI, there’s a weird copayment reimbursement program from the manufacturer that makes it affordable for many. Dumb game to have to play, but it’s there.




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