Hi Blondi! Sorry to hear the fatigue is getting you down! Kudos to you for being pro-active!
I take Provigil too.
I take it as needed, from 100mg to 400 mg. It's expensive but my neuro wrote my scrip for 200 mg 2xdaily and my insurance covers it all except my co-pay. I just cut the pills in half and take a half when I need it or when I need more of it with my doc's blessing.
Some insurance companies make you try amantadine first. It's a lot less expensive, but it doesn't work for everyone.
I do get dry mouth from Provigil but the clear headedness and energy outweighs the dry mouth and it makes me drink more water and that is good!
Good Luck! Let us know how it turns out!